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s 1 own of lvlasnpee <br /> s Board of Appeals <br /> M <br /> Application for a Special Permit TO LERK ao <br /> (As required by pertinent sections of the ZONING BY-LAW oPQA 24 AM`1 48 <br /> DateA-iA�✓ �?, , �9� <br /> To the Board of Appeals J <br /> Mashpee,Mass. <br /> The undersigned,hereby applies for a Special Permit from the BOARD OF APPEALS; as required <br /> by pertinent provisions of the Zoning By-Law of 1987: <br /> 1. Q�Xl�� <br /> Applican_fs Full Name <br /> Complete Mailing Address(including Zip code) f <br /> 2. Owner ��' 2 i Is m I,c-� GCY 25 <br /> 3. Occupant(If other than owner) 0 0,;k-� <br /> --n <br /> 4. Location of Property Map - "' Lot Street��— Street Li2f4z - C) <br /> 5. Dimensions of Plot <br /> (Frontage) (Depth) (No. of Square Feet) <br /> 6. _ <br /> Zoning District in which property is located? L <br /> 7. How long have you owned this property? <br /> i <br /> 8. What section, OR sections,of the Zoning By-Law requires the permit you seek? <br /> 9. State present use of premisesyaccc nn <br /> 10. State proposed use of premises Ck�A-41 L--Q- <br /> 11. Any further remarks in explanation of this application _ u F , <br /> Application received by <br /> -Hearing Date set for , 19 <br /> Sia ature of Applicant <br /> L///7//- C11213 <br /> Telephone <br />