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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 /> 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 <br /> 1987: p g <br /> Petitioner: k 4 /Vl A 7C <br /> (Full name) (Address) (Telephone #) <br /> Property Owner: <br /> (Full name) (Address) (Telephone #) <br /> Location of Property: -�, Wes, Zoning District T oJ0s'V"J <br /> (House Number and Name of Street) <br /> Assessor's Map/Parcel Number: Map # Parcel # <br /> Dimensions of Lot: ` Area C '" <br /> (Frontage) (Depth) (Square Feet) <br /> How long have you owned premises? �0 C <br /> State present use of premises: <br /> State proposed use of premises: <br /> What section(s) of the Zoning By-laws requires the permit you seek? D . <br /> Have you submitted plans r above to the Building Department? <br /> Hearing Date set for: <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 /> P"iti igiiature <br /> V a HIM M <br /> ;V, ,-> � <br /> Agent's Signatur /Address/Phcine # <br />