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MASHPEE ZONING BOARD OF APPEALS <br /> PETITION FOR A SPECIAL PERMIT <br /> U der Massachusetts General Laws Chapter 40A §9 and <br /> J 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 ooff 1987: <br /> (U: p Petitioner: CAC-,V_s 0 t,� Q L a-)-7 �_T <br /> (Full name) (Address) (Telephone <br /> Property Owner: C-i 1 <br /> (Full name) (Address) Jeleph( e <br /> HAf-ffp(2��, , A- <br /> Location of Property: 1,;Z-3 LAC C-0 Zoning District <br /> (House Number and Name of Street) <br /> Assessor's Map/Parcel Number: Map # Parcel <br /> Dimensions of Lot: 17 q., C)� 93' Area 3 <br /> (Frontage) (Depth) (Square Feet) <br /> How long have you owned premises? 1-1 <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 /> I t_7 - 15- . '/ <br /> Have you submitted plans for above to the Building Department? <br /> Hearing Date set for: <br /> — <br /> I do hereby state that I have conferred with the Building Commi4ision-e­f�on and it <br /> has been determined that this project_ does L,-'-does not fall under the <br /> jurisdictyn of the Conservation Commission. <br /> �-Petitioner' Signa ire <br /> Agent's Signature/Address/Phone # <br />