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MASHPEE ZONING BOARD OF APPEAI;S . `5` '` <br /> PETITION FOR A SPECIAL PERMIT o _ 1i <br /> Under Massachusetts General Laws Chapter ' �1 ,� an` <br /> �p <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 1987: <br /> Petitioner: <br /> (Full name) (Address) (Telephone#) <br /> Property Owner: NYVIV <br /> (Full name) (Address) (Telephone#) <br /> Location of Property: �3If Zoning District <br /> (House Number and Name of Street) <br /> Assessor's Map/Parcel Number: Map# Parcel# l <br /> Dimensions of Lot: 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: wow, CC f cz <br /> What sections of the Zoning By-laws requires the permit you seek? yT` <br /> / _ / ' ? <br /> Have you submitted plans for above to the Building Department? <br /> _ <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 jurisdictionof fte Cons rvation Commission. <br /> Petitioner's Signature �t-TtI CO 0 C <br /> Pet g <br /> 5A - qv- Y <br /> Agent's Signature/Address/Phone# <br />