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Town of Mashpee <br /> . s Board of Appeals <br /> RECEIVED <br /> SEP l� <br /> °'� Application for a Special Permit 4 <br /> TOWN CLERKto <br /> MASHPEE <br /> (As required by pertinent sections of the ZONING BY-LAW of 1987) <br /> V <br /> Date 4 / Z 19 q y <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. J4_IV P.r AJ- en/G /`IASIWEE a4)4161'1 017 149111q <br /> Applicant's Full Name <br /> 520v C r.e n 7- e c rc W61 /Ll,rhje Pn /yi.9 m 2 6 Ys <br /> Complete Mailing Address(including zip code) —T <br /> 2. Owner 7-ONy OF <br /> 3. Occupant(If other than owner) /6 CI—PN T /1/e /L// i_e/ <br /> 4. Location of Property Map G 7 Lot Street G/P9 r AeCK 4901 /V <br /> 5. Dimensions of Plot 6. / <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 <br /> r permit you seek? <br /> 9. State present use of premises i�i0��' <br /> 10. State proposed use of premises <br /> 11. Any further remarks in explanation of this application <br /> Application received by <br /> Hearing Date set for /y�/1, 19 <br /> gnature of 90cant <br /> /Z ' <br /> Telephone <br />