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Town of Mashpee <br /> s Jy <br /> v <br /> IVIA6 ING BOARD OF APPEALS <br /> PETITION FOR A SPECIAL PERMIT 16 Great JVeck &ad Xorth <br /> Under Massachusetts General Laws Chapter 40A §9 and pee, l�'lassachusetts 02649 <br /> Town of Mashpee Zoning By-laws of 1987 <br /> To: Mashpee Zoning Board of Appeals Date: L2 2 C, <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 /> i <br /> Petitioner _ U - j e(`e� SU�s- <br /> 4-7 <br /> Z-tFull name 7 �i <br /> ( ) (Address (Telephone #) <br /> Property Owner: <br /> I � <br /> (Full name) (Address) (Telephone #) <br /> Location of Property: !�r c Zoning District <br /> (House Number and ame of <br /> Street <br /> 'i <br /> Assessor's Map/Parcel Number: Map # n Lk Parcel # 1 2- <br /> '; I <br /> Dimensions of Lot:-191 Area SE, <br /> (Frontage) hDe t <br /> ( p ) (Square Feet) <br /> How long have you owned premises? 'ct� <br /> UA CC <br /> State present use of premises: <br /> State proposed use of premises: ! r1 (C1[,3 G <br /> ' I <br /> What section(s) of the Zoning By-laws requires the permit you seek? <br /> I ' <br /> Have you submitted plans for above to the Building Department? <br /> Hearing Date set for: <br /> I do hereby state that I have conferred rred <br /> with the BuildingCommissioner ssioner on and it <br /> has been determined that this project does does not fall under the <br /> jurisdiction of the Conservation Commission. <br /> 0itio �er's Signature <br /> 4 ^ re ly +it Z0 <br /> i <br /> - , t: o'r •� E � 0.1 Agent's Signature/Address/Phone# <br />