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Town of Mashpee <br /> . A <br /> o�•t' \'ysy J <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 Ma U , 19 <br /> To the Board of Appeals J <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. 6aY-bar-A' 6, /V/ <br /> Applicant's Full Name <br /> Complete Mailing Address(including zip code) <br /> 2. Owner lY <br /> 3. Occupant(If other than owner) <br /> 4. Location of Property Map Lot Street. y �� <br /> 5. Dimensions of Plot s 2�C <br /> (Frontage) (Depth) (No. of Square Feet) <br /> 6. <br /> Zoning District in which property is located.? P 5- <br /> 7. How long have you owned this property? lgy3 <br /> 8. What section, OR sections,of the Zoning By-Law requires the permit you seek? <br /> 9. State present use of premises E <br /> 10. State proposed use of premises ` �'�3C <br /> 11. Any further remarks in explanation of this application 4��d <br /> Application received by <br /> i <br /> Hearing Date set for , 19 /J <br /> Signature of Applicant <br /> j N r; U I Telephone <br /> 3J1-1SVW .•i0 WO1 <br /> i <br />