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r <br /> Town of Mashpee ; r <br /> Board of Appeals <br /> RECEIVED <br /> ,� SEPI A 1991 <br /> Lz Application for a Special Permit TOWN CLERK <br /> MASHPEE <br /> (As required by pertinent sections of the ZONING BY-LAW of 1987) <br /> DP�ermfrom <br /> Date 197 <br /> To the Board of Appeals <br /> Mashpee,Mass. <br /> The undersigned,hereby applies for a SpARD OF APPEALS; as required <br /> by pertinent provisions of the Zoning By-Law of <br /> 1. <br /> Applicant's Full Name <br /> tU 12 c� /7a k r <br /> Complete Mailing Address(including zip o <br /> 2. Owner `-T' ho hc"'q f e 11�o arta ra <br /> 3. Occupant(If other than owner) <br /> 4. Location of Property Lot Street a�- riracGyhoN �• <br /> 5. Dimensions of Plot J <br /> (Fronta e) (Depth) (No.of Square Feet) <br /> 6. <br /> Zoning Distric in which pro is located? 3 <br /> 7. How long haveu owned this property? <br /> 8. Wh coon, OR coons,of the Zoning By-Law requires the permit you seek? <br /> 9. State present use o ises <br /> 10. State proposed use of pre 'ses <br /> 11. Any further remarks in explanation of this application e + , <br /> k- S /4 r. U <br /> C/SIC 2004 " 0,4 -A- r ,as ao ' <br /> Application received by <br /> Hearing Date set for ' 19— <br /> Signature of Applicant <br /> -q7`7- JPO :P- <br /> Telephone <br />