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Town of Mashpee <br /> Board of Appeals <br /> Air <br /> "TBLE ' Application for a Special Permit <br /> jOYdN Cl.Eftit <br /> (As required by pertinent sections of the ZONING BY-LAW of 1987) i;tASNPLE <br /> Date_pP�Pmt a +, 19_.g_z <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. <br /> Applicant's Full Name <br /> P 0 Box 628, Natick, MA 01760 <br /> Complete Mailing Address(including zip code) <br /> 2. Owner Same as above <br /> 3. Occupant(If other than owner) <br /> 4. Location of Property Map 117 Lot 82 Street 12 Squaw' s Lane <br /> 5. Dimensions of Plot 80.00 95.00 7,600 <br /> (Frontage) (Depth) (No. of Square Feet) <br /> 6. <br /> Zoning District in which property is located? R-3 <br /> 7. How long have you owned this property? 10t years <br /> 8. What section, OR sections,of the Zoning By-Law requires the permit you seek? 174-17 <br /> 9. State present use of premises. Residential <br /> 10. State proposed use of premises Residential <br /> 11. Any further remarks in explanation of this application Expansion of existing dwelling <br /> Application received by <br /> Hearing Date set for _, 19 <br /> Signature of Applicant David sanicki <br /> Cape & Islands Engineering <br /> gn-7�79 <br /> Telephone <br />