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MASHPEE ZONING'BOARD OF APPEALS <br /> PETITION FOR A VARIANCE <br /> Under Massachusetts General Laws Chapter 40A §10 <br /> and Town of Mashpee Zoning By-laws <br /> To Mashpee Zoning Board of Appeals Date: <br /> The undersigned Petitions the Mashpee Zoning Board of Appeals to vary, in the manner <br /> and for the reasons hereinafter set forth,the application of the provisions of the Zoning By-laws <br /> to the following described premises: <br /> 0 <br /> Petitioner; � �1' �.� � C57 1�0 <br /> (Full name) (Address) (Telephone#) <br /> Property Owner:Owner4ga&I 5A&SD�_567 5!2 <br /> (Full name) (Address) (Telephone #) <br /> Location of Property:5M T Zoning District <br /> , <br /> (House Number and Nameof Street) <br /> Assessor's Map/Parcel Number: Map# Parcel# <br /> Dimensions of Lot: 1 , 7/4 Area 1 <br /> (Frontage) (Depth) (Square Feet) <br /> How long have you owned premises? <br /> What is current use of the property? <br /> Size of existing buildings on the lot: <br /> Size of proposed buildings: <br /> State sectio (s) of the Zonin�By-laws nd nature of Variance relief requested: <br /> re. <br /> �i � �✓ <br /> Have you submitted plans for above to the Building Department? <br /> Has permit been refused? n as <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 onservation Commission. <br /> C <br /> P ti ioner's Si na e <br /> Agent's Signature/Address/Phone# <br /> . ,� _- <br />