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Town of Mashpee <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 J� 02 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: n <br /> 1. )(-K, tL- I�I-�I S F Q54- JVl 4( - / r� (oe rr l) f SCM 61t1 P y r <br /> Applicant's Full Name <br /> (off F::P0IM0o ;H o - <br /> Complete Mailing Address(including zip code) <br /> 2. Owner (?G �ZljL=:7S /1 r TfiL/4NJ 19-N -`R • <br /> 3. Occupant(If other than owner) <br /> 4. Location of Property Map Lot Street <br /> 5. Dimensions of Plot <br /> (Frontage) (Depth) (No. of Square Feet) <br /> 6. <br /> Zoning District in which property is located? <br /> 7. How long 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 <br /> 10. State proposed use of premises <br /> 11. Any further remarks in explanation of this application <br /> r-77V " t-! <br /> Application received by 0 / <br /> Hearing Date set for ' 19— <br /> RECEIVED Saignature of Applicant <br /> MAR o2 IN SDe-- SSTOWS <br /> M Telephone <br />