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SP-o3 -11� <br /> TOVr,, OF <br /> MASHPEE ZONING BOARD OF APPEALS Cis AUG 18 All °: U <br /> • PETITION FOR MODIFICATION <br /> TO 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: S-1O <br /> The undersigned petitions for a Modification to a Special Permit from the Mashpee <br /> Zoning Board of Appeals, as required by pertinent sections of the Zoning By-law of 1987: <br /> Petitioner:l r, 1&4osj'Stfctk)oaeld �c.p� ;n 1Zcl T&S--`J77�aG2 <br /> (Full name) (Address) (Telephone #) <br /> 4V e54 Rr Yh(,rY <br /> Property Owner: �niaWNr�q � 669MakrtzrhRa4 617.3 367 <br /> (Full name) (Address) (Telephone #) <br /> Location of Property: 101 Choce 01. 001 ?6 N&SSL4 4- <br /> (House Number and Name of Street) (Subdivision Name) <br /> Assessor's Map/Parcel Number: Map # 1 1'1 Parcel # .0<0-+' 33 G <br /> Dimensions of Lot: G /A/i Area 4•S'OD <br /> (Frontage) (Depth) (Square Feet) <br /> Zoning District in which premises are located:/ R3 <br /> How long have you owned premises? 'Y//3A6 <br /> What section(s) of the Zoning By-laws requires the permit you seek? 1711�a! <br /> State present use of premises: ReS, dEnA-%C 1 <br /> State proposed use of premises: Rest d,e ki r— I <br /> Have you submitted plans for above to the Building Department? SIG <br /> Hearing Date set for: <br /> Ay <br /> Petitions} s Signature <br /> • Agent's Signature/Address/Phone # <br />