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Town of Mashpee <br /> Board of Appeals qq <br /> Application for a Special Perrrlit <br /> (As required by pertinent sections of the ZONING BY-LAW of 1987) <br /> Date 19 <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. - Z-1c )'4 y Ag'/ /,-, Vo, <br /> Applicant's Full Name <br /> Complete Mailing Address/(including zip code) <br /> 2. Owner a f 4)1&5' 6,f&4,44 --r-,/v 7/_A/L-' <br /> 3. Occupant (If other than owner) , <br /> 4. Location of Property Map /0 J. Lot /H Street (I J71448ok- /2j b 6/-:- DIal <br /> 5. Dimensions of Plot (ot-6 1-7 6 1 7,34 <br /> (Frontage) (Depth) (No. of Square Feet) <br /> 6. <br /> Zoning District in which property is located? <br /> 7. How Iona have you owned this property? <br /> 8. What section, OR sections, of the Zoning By-Law requires the permit you seek? <br /> 9. State present use of premises A c4,,v'7_ <br /> 10. State proposed use of premises <br /> 11. Any further remarks in explanation of this application rh V'VA'J'k-l' <br /> 4a6'13'A5-7_TV. �,m /)�ACCIS 'kh6iL 4-z-- <br /> Application received by <br /> Hearing Date set for ' 19 <br /> Signature of Applicant <br /> bb <br /> Telephone <br /> 41111 114 <br />