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Town qfMashpee <br />utX ,Nronh 16 On eck A�pad, <br />Aluslipee, hlassa(4iusetts 0,2649 <br />PETITION FOR SPECIAL PERMIT <br />Per MGL Chapter 40A §9 and Town of Mashpee Zoning By Laws of 1987 <br />O'N <br />Date 4 e� <br />Print <br />Property Address -za ..... f-a. .... <br />Map Parcel <br />Zoning District <br />......... . <br />Petitioner Phone <br />Email <br />Owner's Name Phone <br />Is this property within the Precontact or the Posteontact Archaeological Sensitivity areas UYES K� 0 <br />Applying for (Check appropriate box(s)): <br />11 Accessory Apartment ElCornmercial []Sign []Bed and Breakfast []Private NonProfit <br />0 Hospital/Nursing Home D Outdoor Recreation --- I Indoor Recreation Raze and Replace <br />F-ILumberyards/Landscaping E Automotive Repair ElDrive In ElWirele'ess Services LIMedical <br />Uses []Kennel []Retail Sales []Eating Establishment []Other <br />BRIEF DESCRIPTION /f <br />- -14 ILI � L 02 . ...................... <br />Owner's Signature or lent""mmmm "mm"mm <br />Petitioner's Signature <br />Mail certified copy of Decision to: <br />Scheduled Date <br />Rev. 1118119 <br />W <br />TOWN CLERK <br />DATE STAMP <br />MAMPEE TOWN, C---'_E11ZK <br />SC I <br />P -2 '22 N11:041 <br />