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Town of Mashpee <br /> Board of Appeals <br /> � J ,' RECEIVED <br /> "aN Application for a Special Permit <br /> MAR )3M <br /> TOWN CLERK <br /> (As required by pertinent sections of the ZONING BY-LAW of 1987)MASHPEE <br /> Date - - 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: / <br /> 1. LEsco !tyG l 7 ztK s_�/a� N crL mC�R <br /> Applicant's Full Narrie ` <br /> IOb x-10 NJ -IT Z 1`i1flSH '(M 02101-p <br /> Complete Mailing Address(including zip code) <br /> 2. Owner rRFlok M(�K1 <br /> 3. Occupant(If other than owner) LCsco aC <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 /> t <br /> 9. State present use of premises _z) Pi i7l- 1 L(�? S t Gh I 0K) UQ7t,1-T 6P gV o_b i tYj <br /> 10. State proposed use of premises <br /> 11. Any further remarks in explanation of this application v i Sv <br /> SQA <br /> Application received by <br /> Hearing Date set for ' 19— <br /> j/7 <br /> Signature of Applicant <br /> 5 39-�1Z7 <br /> Telephone <br />