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Jd iMRR 4 y97 11 36 BD HLTH CON COMM & BLDG DEPT. �11�JCC A P.7/7 <br /> Board of Appeals RECEIVED <br /> ,u NJAR 2 1997 <br /> Application for a Special Pemut T0'IN CLERK s' <br /> (modification to a Special Permit) <br /> (As required by pertinent sections of the ZONING BY-LAW of 19M <br /> Date 19_ <br /> To the Boars!of Appeals <br /> Mashpee,Mass. <br /> The.unde'tsigned,hereby applies for a Special Permit from the BOARD OF APPEALS:as required <br /> by pertinent provisions of the Zoning By-Law of 1997: <br /> 1, Ronald & Cheryl Nation and Edward & Martha Palank <br /> Apphcanrs Full Name <br /> Ron & Chervl Nation PO Box 152 Hopkinton MA 01748-0152 <br /> Complete Mailing Address(including zip code) <br /> 2. Owner Ronald & Cheryl Nation <br /> 3. Occupant(If other than owner) <br /> 4. Location of Ptoperty Map 100 Loc 41 Street 175 Daniels Island'Rd <br /> s. Dimensions of Plot G7.79 179. 19 800 <br /> (Frontage) (LiepEn) (No.of Square Feat) <br /> 6 <br /> Zoning District in which property is located? -� <br /> 7. How long have you owned this property? 7 yrs <br /> S. What section, OR secvons,of the Zoning By-Law requires the permit you seek? <br /> 9. Stare present use of premises home <br /> 10. State proposed use of premises home <br /> 11. Any further remarks in explanation of this application <br /> Application received by <br /> Heating Date set for , 19 <br /> Signature;o A <br /> 508/435-5901 <br /> Telephone <br />