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Sy- p 3- as <br />Town of Mashpee <br />MASHPEE ZONING BOARD OF APPEALS 16 Great .Neck Pvoad JVorth <br />N°^ IT PETITION FOR A SPECIAL PERM <br />Mashpee, Massachusetts 02649 <br />Under Massachusetts General Laws Chapter 40A §9 and <br />Town of Mashpee Zoning By-laws of 1987 <br />r: <br />To: Mashpee Zoning Board of Appeals Date: <br />The undersigned petitions for a Special Permit from the Mashpee Zoning Board of n 17 7 g <br />t t' n of the Zonin By-law of 1987• <br />Appeals, as requrred by pertmL_ en see >o s g �] <br />PJi.IUG'� V�+CL � . <br />Petitioner: 1100-S40— <br />(Full <br />100-S4(Full name) <br />I .7/ZAra R}n/,-H -SI— <br />(Address) <br />(Telephone #) <br />Property Owner: <br />(Full name) ( ddress) (Telephone #) <br />Location of Property: Zoning District C —� <br />(House Number and Name o�eet) <br />Assessor's Map/Parcel Number: Map # % Z Parcel # $ -7 <br />Dimensions of Lot: ZS'Z �d Area G <br />(Frontage) (Depth) (Square Feet) <br />How long have you owned premises? GdS Z n <br />State present use of premises: en <br />State proposed use of premises: 341 t <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 <br />has been d ermined that this project does does not <br />juris do of Conservation Commission. <br />Pet ner s Signature <br />00,110 6- N EO <br />114 <br />Co 5 Gn <br />and it <br />fall under the <br />Agent's Signature/Address/Phone # <br />