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J9 F <br /> D <br /> r r,y s,s . <br /> MASHPEE ZONING BOARD OF APPEALS <br /> i rkt), 22 AM 10: 05 PETITION FOR A SPECIAL PERMIT <br /> Under Massachusetts General Laws Chapter 40A §9 and <br /> Town of Mashpee Zoning By-laws of 1987 <br /> g p To: <br /> 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: L f rt jt`) IS <br /> (Full name) (Address) (Telephone#) <br /> L <br /> Property �Owner: # <br /> (Full name) (Address) (Telephone ) <br /> Location of Property: / �� ' ' ' �' ' Zoning District <br /> (House Number and Name of Street) <br /> Assessor's Map/Parcel Number: Map# 6Z.. Parcel# <br /> Dimensions of Lot: 9 ` Area � <br /> (Frontage) (Depth) (Square Feet) <br /> How long have you owned premises? <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? / <br /> Have you submitted plans for above to the Building Department? ✓ d, <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 /> jurisdicj .on of the onservatio "Commission. <br /> P `ti er' Sign re <br /> 1- s <br /> Agent's Signature/Address/Phone# <br />