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10 In Town of Mash ee <br /> 16 Great Jlreck load Jlrorth <br /> Mashpee,Massachusetts 02649 <br /> MASHPEE ZONING BOARD OF APPEALS <br /> APPLICATION FOR A SPECIAL PERNIIT <br /> As required by pertinent sections of the ZoningBy-law of 1987 <br /> To: Mashpee Zoning Board of Appeals Date: / O/ <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: / /V) 09 fl C11"-0 <br /> (Full name) (Address) (Telephone#) <br /> Property Owner: <br /> (Full name) (Address) (Telephone#) <br /> Location of Property: /ls/ 0/,,VE �—U <br /> (House Number and Name of Street) (Subdivision Name) <br /> Assessor's Map/Block Number: Map #: o? Block#: <br /> Dimensions of Lot: Area $ DDD <br /> (Frontage) (Depth) (Square Feet) <br /> Zoning District in which premises are located: <br /> How long have you owned premises? _O 7 <br /> What section(s) of the Zoning By-Iaws requires the permit you seek? ,Oo co c, � <br /> State present use of premises: 710ys <br /> State proposed use of premises: Sltl-Ll <br /> Have you submitted plans for above to the Building Department?_7 <br /> Hearing Date set for: // <br /> 10 <br /> -.01 <br /> ! � , (, (Applican s Signature) <br /> 471 i.J Err�tU <br />