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,ow, Town of Mashpee <br /> ' 16 Great Xeck Poad Horth <br /> Mashpee,Massachusetts 02649 A <br /> MASHPEE ZONING BOARD OF APPEALS <br /> APPLICATION FOR A SPECIAL PERMIT B <br /> As required by pertinent sections of the Zoning By-law of 1987 <br /> To: Mashpee Zoning Board of Appeals Date: ( 2(1 2A 0 <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 /> Appli6ant: 2 r 1 i,to C> i�e��i� (0 )1`1C�� �� k U �'�P 1MC� i <br /> (Full name) (Address) (Telephone #) <br /> Property Owner: G k 9q— 0559 <br /> (Full name) (Address) (Telephone#) <br /> Location of Property: t)a keP U r) <br /> (House Number and Name of Street) (Subdivision Name) <br /> Assessor's Map/Block Number: Map#: S 3 Block <br /> Dimensions of Lot: LTJ l ± 02 a Area 31 q Q q <br /> (Frontage) (Depth) (Square Feet) <br /> -Zoning District in which premises are located: 3 <br /> How long have you owned premises? 13 mon��3 <br /> What section(s) of the Zoning By-laws requires the permit you seek? <br /> State present use of premises: <br /> State proposed use of premises: <br /> Have you submitted plans for above to the Building Department? 2S <br /> Hearing Date set for: <br /> (Applicant's Signature) <br /> 6! 0:,o0© <br /> E , <br /> 3, , s, 0,dLa <br />