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`town of-Mashpee <br /> y 16 Great Jlreck <br /> load Xorth <br /> 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 1987 <br /> s <br /> To: Mashpee Zoning Board of Appeals Date:-4i L ZOO <br /> a <br /> G 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: <br /> (Full name)) (Address). (Telephone #) <br /> Property Owner: ` <br /> (Full name) (Address) (Telephone#) <br /> i <br /> Location of Property: e <br /> (House Number and Name of Street) (Subdivision Name) <br /> Assessor's Map/Block Number: Map#: 1 l I Block#: _ <br /> i' <br /> Dimensions of Lot: 1 Z7 /Z 2 Area 3� 326 3 <br /> (Frontage) (Depth) (Square Feet) <br /> Zoning District in which premises are located: <br /> I <br /> i <br /> How long have you owned premises? <br /> What section(s) of the Zoning By-laws requires the permit you seek? <br /> OAL�t cw — %?u-t cam` <br /> State present use of premises: <br /> State proposed use of premises: <br /> i <br /> Have you submitted plans for above to the Building Department? YQS� <br /> Hearing Date set for: <br /> f <br /> I� CAPPLica t s Signature) <br /> > <br /> �Vtii>V:01 <br />