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V-0 5 9 3 <br /> MASHPEE ZONING BOARD OF APPEALS <br /> �Pr - wry 4 PETITION FOR A SPECIAL PERMIT <br /> Under Massachusetts General Laws Chapter 40A §9 and <br /> Town of Mashpee Zoning By-laws of 1987 // <br /> To: Mashpee Zoning Board of Appeals Date: C P O O <br /> The undersigned petitions for a Special Permit from the Mashpee Zoning Board of <br /> Appeals, as required by pertinent sections of theZoning By-law of 1987: CS o Ej <br /> Petitioner: Au l r7q_ E-` 54 r 7�l'i l 7?— /:;� g'Sr <br /> (Full name) (Address) (Telephone #) <br /> Property Owner: I I� ��//1'� �l . �/T�17 /C� l L/77 <br /> (Full/n--ame))/ / [/) (Address) (Telephone #) <br /> Location of Property: Cc ke °lS e a Zoning District <br /> (House Nurf3b re and Name of Street) <br /> r✓ <br /> Assessor's Map/Parcel Number: Map # 0 Parcel # <br /> Dimensions of Lot: Area <br /> • (Frontage) (Depth) (Square Feet) <br /> q <br /> How long have you owned premises? pZ% S_ / p <br /> State present use of premises: 4r?!� <br /> State proposed use of premises: <br /> What section(s) of the Zoning By-laws requires the perm't you seek? /-7 /J " 2S f/ <br /> 7� <br /> - i <br /> Have you submitted plans for above to the Building Department? <br /> Hearing Date set for: d5 <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 <br /> of the Conserv. 'on mmissiou. <br /> 57/ <br /> etitioner's Signature <br /> • <br /> Agent's Signature/Address/Phone # <br /> z <br />