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t' <br /> MASHPEE ZONING BOARD OF APPEALS <br /> PETITION FOR A SPECIAL PERMIT <br /> Under Massachusetts General Laws Chapter 40A §9 and <br /> Town of Mashpee Zoning By-laws of 1987 <br /> To: Mashpee Zoning Board of Appeals Date: . <br /> The undersigned petitions for a Special Permit from the Mashpee Zoning Board of <br /> Appeals, as required by pertinent sections of the Z/o_nin/g� By-law of 1987: G U <br /> Petitioner: ®, 1 W1 i� z V <br /> (Full name) (Address) (Telephone #) <br /> Property Owner: 5&-N\C <br /> (Full name) (Address) (Telephone #) <br /> t <br /> Location of Property: O S k Zoning Distric` -� <br /> (House Number and Name of Street) <br /> Assessor's Map/Parcel Number: Map # Parcel # <br /> Dimensions of Lot: Area <br /> (Frontage) (Depth) (Square Feet) <br /> How long have you owned premises? <br /> State present use of premises: 1 1�� \" `Nk <br /> State proposed use of premises: � A.� <br /> What section(s) of the Zoning By-laws requires the permit you seek? r7 — � eM <br /> J <br /> Have you submitted plans for above to the Building Department? V la, <br /> Hearing Date set for: <br /> _ �/,),3 <br /> I do hereby state that I have conferred with the Building Commissioner on and it <br /> liasb�een determined that t roject does does not fall under the <br /> juriss action of the C. servati n Commission. <br /> lrt o r rgnatur <br /> r_{ <br /> Agent's Signature/Address/Phone 4 <br />