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Town o,f Mashpee <br /> .16 Great.Neck.Road.North <br /> Mashpee, MA 02649 <br /> xtq�o a ' <br /> PETITION FOR SPECIAL PERMIT <br /> Per MGL Chapter 40A §9 and Town of Mashpee Zoning By Laws of 1987 <br /> Date Zoning District w www�w <br /> Print b __ _ _.._ ' <br /> Property Address , ..:�� _".__ .�. �w... ... :. _�.!�!�.�_ .�....�...�... . ou � � 1 <br /> Map _.................... ...:.... ...................................... Parcel o�.. <br /> Petitioner_.. . . .�. ... . ..:.... ........... .. Phone� � �n� <br /> Email.._ _... :.. . ..._., --------------- <br /> Owner's Name..... v.t r_)._._wwww..A r, _ .I.�. .w.kw_wwww----- Phone__ <br /> 5LtMM4?kR1fjj �1�pc <br /> Is this property within the Pre-contact or the Post-contact r h eological Sensitivity areas PES [INO <br /> no ESL t.J P_1 kx`9S <br /> Applying for(Check appropriate.box(s)): <br /> l Commercial ❑Sign ❑Bed and Breakfast ❑Private Non-Profit ❑Hospital/Nursing Home <br /> !❑Outdoor Recreation ❑ Indoor Recreation ❑Raze and Replace ❑Lumberyards/Landscaping <br /> ❑ Automotive Repair ❑Drive In El Wireless Services El Medical Uses El Kennel ,Retail Sales <br /> ❑ Eating Establishment VOther <br /> BRIEF DESCRIPTION r . ! ..... `�.. .. �` ........ l.. <br /> . n "gym° _.❑.� (,� <br /> Owner's Signature or letter <br /> '� �f`'........_�.,.,......�°�����'r�^��„""mow <br /> Petitioner's Signature....................................� .. ........ .__. ._ .............................._...._._._..�.... <br /> Mail certified copy of Decision to: .....: _ _..............- _.... .... <br /> ......... .... w w.w............Q g ...... <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Scheduled Date TOWN CLERK <br /> ..........................._._....._w.........www.._ww _._... ............_ww___...........w_.. DATE STAMP <br /> HASHPEE TOWN CLERK <br /> FEB 2 A :15 <br /> Rev.0912712022 <br />