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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 /> A <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 1987: <br /> Petitioner: <br /> (Ful name) (Address) (Telephone#) <br /> Properly Owner: roc .' �� tom,Of <br /> " _, <br /> (Full name) (Address) (Telephone#) <br /> Location of Property:� ` i rcJ� �� 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? } <br /> State present use of premises: s <br /> State proposed use of premises: c,j <br /> What section(s) of the Zoning By-laws requires the permit you seek? f " <br /> Ile <br /> Have you submitted plans for 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 /> jur.sdiction of the Conservation Commission. <br /> 7 <br /> Petitioner's Si nature <br /> :IIw `4 1, <br /> 6 't l.A 0 1 Agent's Signature/Address/Phone# <br />