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2 <br /> Town of Mashpee ' V <br /> Board of Appeals RECEIVED <br /> FEB / 205 <br /> ALE Application for a Special Permit TOWWNNHL�ERK <br /> (As required by pertinent sections of the ZONING BY-LAW of 1987) 6i! <br /> Date Z - ly - q S 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. l QoM14S W . 961001CS JsL . <br /> Applicant's Full Name <br /> 5 9(U) lff LG 6tnS0 , PAQz r" rAL_M0 ,.ila ,Nla D?syo <br /> Complete Mailing Address(including zip code) <br /> 2. Owner <br /> 3. Occupant(If other than owner) S D" C <br /> CGLoct� z} <br /> 4. Location of Property Map 20 Lot Z Street (5 5'1 Lk6LG t S C A r't <br /> I <br /> 5. Dimensions of Plot 150 24-19 k q ,UU <br /> (Frontage) (Depth) (No. of Square Feet) <br /> 6. <br /> Zoning District in which property is located? ' S <br /> 7. How long have you owned this property? 2 r to sLs <br /> S. What section, OR sections,of the Zoning By-Law requires the permit you seek? <br /> /3ti - t-� <br /> 9. State present use of premises WD V- <br /> 10. State proposed use of premises N <br /> 11. Any further remarks in explanation of this application 6U.-t t_Of.J C. \N S Pe-CTOV <br /> St., tr0 Ltvtt-+c� 590_c = w C� c\aUe. Rx Nc�n�SFener� <br /> fiv 'Lh\STt4b-r-. <br /> Application received by <br /> 3 � <br /> Hearing Date set for A 19 <br /> Signature of Applicant <br /> Telephon �� <br />