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Town of Mashpee <br /> A 16 Great Neck load,)Vorth <br /> Nlashpee, 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 /> i <br /> To: Mashpee Zoning Board of Appeals Date: L-4 <br /> The undersigned applies for a Special Permit from the Mashpee Zoning Board of <br /> a <br /> !i <br /> Appeals, as required by pertinent sections of the Zoning By-law of 1987: <br /> Applicant: r1P/2 X�) Z11111,6 <br /> jGI�G� <br /> (Full name <br /> � ) (Address) X77�/�j(Telephone <br /> Property Owner:�UG/e PWIP A7 �W/j / i9 � 76 0 <br /> (Full name) (Address) (Telephone 9) �77,J f la/'z <br /> Location of Property: / r6 <br /> ------------ <br /> (House Number and Name of Street <br /> (Subdivision Name) <br /> Assessor's Ma 's <br /> Block <br /> Nu , . <br /> Map/Block tuber: Map �-: Blocq#. S � <br /> s <br /> Dimensions of Lot: Area <br /> (Frontage) (Depth) (Square Feet) <br /> Zoning District in which premises are located: <br /> How long have you owned premises? <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: SIS <br /> Have you submitted plans for above to the Building Department? � i <br /> Hearing Date set for: <br /> (APP,?f�cano Signature) ell <br /> cel :i! a {IZ NIDI 10 <br />