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Town o Mash ee - <br /> 16 great J1(eck load Jlrorth` <br /> ` OLE Mashpee,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 1^07 j <br /> To: Mashpee Zoning Board of Appeals Date:_. f <br /> i <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: A'dal r OG <br /> (Full name) (Address) (Tel hone #) <br /> Property Owner: 13OLI -�—O9' Z77 -�-93I <br /> (Full name) (Address) (Telephone#) <br /> Location of Property: <br /> (House Number and Name of Street) (Subdivision Name) <br /> Assessor's Map/Block Number: Map #: Z'3 Block <br /> Dimensions of Lot: Area <br /> (Frontage) (Depth) <br /> (Square Feet) <br /> Zoning District in which premises are located: - <br /> How long have you owned premises? q <br /> I <br /> What section(s) of the Zoning By-laws requires the permit you seek? / <br /> State present use of premises: r/! <br /> State proposed use of premises: Si H mi <br /> Xz wzagPrU. <br /> Have you submitted plans for above to the Building Department? C S <br /> l� <br /> Hearing Date set for: <br /> (Applicant's ignature) <br /> , i <br /> 6Z .8 [JV f Z 8VW 1 I <br /> E I � <br /> �-,j 0 IM,10 � <br />