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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 /> 2. <br /> The undersigned petitions for a Special Permit from the Mashpee Zoning Board of <br /> Appeals, as required by pertinent sections of the Zoning By-law of 1987: <br /> Petitioner: dt ` r l7 <br /> (Full name) (Address) (Telephone #) <br /> Property Owner: 56 <br /> (Full name) (Address) (Telephone #) <br /> Location of Property: °m `�- � � Zoning District <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? 3 <br /> State present use of premises: m&v rz 5 tJ <br /> State proposed use of premises: l ck ae5 ldwe atj 0 - et�d B <br /> What section(s) of the Zoning By-laws requires the permit you seek? y � <br /> 63tr Y � <br /> Have you submitted plans for above to the Building Department? f <br /> Hearing Date set for: J <br /> I do hereby state that I have conferred with the Building Commissioner on and it <br /> has been determined that this project does does not fall under the <br /> jurisdiction of the Conservation Commission. <br /> Vr <br /> Petiioner's Signature <br /> A � <br /> vr r;: 3* 3 3 <br /> Agent's Signature/Address/Phone# <br />