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' l-P CLERK MASHPEE ZONING BOARD OF APPEALS <br /> H PETITION FOR A°SPECIAL PERMIT <br /> nti Massachusetts General Laws Chapter 40A §9 and- <br /> Town of Mashpee Zoning By-laws of 1987 <br /> To: Mashpee Zoning Board of Appeals Dater r ` <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; Cts { C y1 - ate?S is <br /> (Full name) (Address) (Telephone#) <br /> Property Owner: n k v,, ` " Ie 'ml'sec �fi 'qr 3 <br /> (Full name) (Address) (Telephone#) <br /> Location of Property:' t �a C � Zoning District <br /> (House Number and Name of Stre t) <br /> Assessor's Map/Parcel Number: Map# Parcel# <br /> Dimensions of Lot: Area i ' <br /> (Frontage) (Depth) (Square Feet) <br /> How long have you owned premises? _ / <br /> State present use of premises: L,,mAo e <br /> State proposed use of premises: a) e r 1 <br /> What section(s) of the Zoning By-laws requires the permit you seek? <br /> Have you submitted plans for above to the Building Department? ' <br /> 4 <br /> Hearing Date set for c 1 _ i ��' `or � <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 /> A� r) <br /> IL IN <br /> y <br /> Petitioner's Signature <br /> Agent's Signature/Address/Phone# <br />