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Town of Mashpee <br /> 16 Great Jlreck load Jdorth <br /> Mashpee,Massachusetts 02649 <br /> MASFIPEE 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: <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 /> Applicant: ) d A qac 10 r- �/fn <br /> (Full name) (Address) (Telephone #) <br /> Property Owner: 1�)aj 2id Nc' o K.- ym pnoa2ng-,5,2 -� -PU eb� i )(� D� <br /> (Full name) (Address) (Telephone#) <br /> Location of Property: 4,7 <br /> (House Number and Name of Street) (Subdivision Name) <br /> Assessor's Map/Block Number: Map#: Block#: <br /> Dimensions of Lot:_ lq/ Area5rl <br /> (Frontage) (Depth) (Square Feet) <br /> Zoning District in which premises are located: <br /> How long have you owned premises? (1caa rI <br /> What section(s) of the Zoning By-laws requires the permit you seek? 0 � _ <br /> State present use of premises: aw3 Lot <br /> State proposed use of premises: ( 1 C� C <br /> Have you submitted plans for above to the Building Department? �S <br /> Hearing Date set for: <br /> (Applicant's Signature) <br /> 91 :6 14V LZ OM 00 <br />