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ISP-010 - i9 <br /> Town of Mashpee <br /> N <br /> y' 16 Great Xeck -oad North <br /> Washpee, Massachusetts 02649 <br /> MASHPEE ZONING BOARD OF APPEALS <br /> APPLICATION FOR A SPECIAL PERMIT <br /> As required by pertinent sections of the Zoning By-law of 1987 <br /> To: Mashpee Zoning Board of Appeals Date: S R <br /> The undersigned applies 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 /> b .�_�� 3 <br /> Applicant: P e an .L e m,c� +s ( ~-��t i �n/ `7 <br /> ( ull name) (Address) li (Telephone#) <br /> Property Owner: i� C i atiJ y - 3 <br /> (F 1 name) U (Address) (Telephone#) <br /> Location of Property: d ( CQ e <br /> �Q pt 1 n.siqei\A/ <br /> (House NudUber and Name of Street) (Subdivision Name) <br /> Assessor's Map/Block Number: Map#: Block <br /> Dimensions of Lot: 196 -.4 7 0��3 Area c2 of . G 96 <br /> (Frontage) (Depth) (Square Feet) <br /> Zoning District in which premises are located: - 3 <br /> How long have you owned premises? <br /> What section(s) of the Zoning By-laws requires the permit you seek? <br /> ;I <br /> State present use of premises: K APs id, �- <br /> State proposed use of premises: iCk� <br /> Have you submitted plans for above to the Building Department? S <br /> Hearing Date set for: <br /> r <br /> l C *Ql WV 9- 330 66 <br /> A 8-31 u N A 01 (Appli ant's Signature <br />