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1 own of masnpee s P 9 g-ai <br />Board of Appeals <br />Application for a Special Permit <br />(As required by pertinent sections of the ZONING BY-LAW of 1987) <br />Date January 28, 19 99 <br />To the Board of Appeals <br />Mashpee, Mass. <br />The undersigned, hereby applies for a Special Permit from the BOARD OF APPEALS; as required <br />by pertinent provisions of the Zoning By -Law of 1987: <br />1. James R & Anne L Collins <br />Applicant's Full Name <br />37 Ginlev Road, Walpole, MA 02081 <br />Complete Mailing Address (including zip code) <br />2. Owner <br />3. <br />Occupant (If other than owner) <br />4. <br />Location of Property Map 123 Lot 21 <br />Street 6 Rock Island Road <br />5. <br />Dimensions of Plot sn , 140' <br />7,000 <br />(Frontage) (Depth) <br />(No. of Square Feet) <br />6. <br />Zoning District in which property is located? R-3 <br />7. <br />How long have you owned this property? 5 years± <br />8. <br />What section, OR sections, of the Zoning By -Law requires the permit you seek? 174-90 <br />9. <br />State present use of premises Residential <br />10. <br />State proposed use of premises Residential <br />11. <br />Any further remarks in explanation of this application <br />nAmn1 i Y i nn of A, i sr; n g hol se <br />Rebuild a new 3 bedroom house. <br />Application received by <br />Hearing Date set for '19 <br />Signature of Applicant John Slavinsky <br />8Z NVr 66 <br />Cape & Islands Engineering <br />I <br />M313 NA01 <br />Telephone 477-7272 <br />3IdHSVW d0 ME <br />