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TOWN OF MASHPEE <br /> BOARD OF APPEALS <br /> Application for a Special Permit <br /> (As reL, .red by pertinent sections of the ZONING BY-LAW of 1971) <br /> Date ........................................ ... 19.... . <br /> To the Board of Appeals <br /> Mashpce, Mass. <br /> The undersigned, hereby applies for a Special Permit from the BOARD OF APPEALS; as re- <br /> quired by pertinent provisions of the <br /> Zoning By-law of 1971: <br /> 1. Applicant � �R. ......../ A10......../..S .�{l...s7�"'.../l�!'C:j.�...... a J 0 <br /> (Full name) (complete address including zip code) <br /> 2. Owner: ........................................................ ................f..t.?.......................................................................................... <br /> 3. Occupant (if other than owner) .G..DN/�0....... JTO�/Q/j .....................>.../............................... . <br /> 4. Location of Property .xv.g.W..S.PQ!6C�IYy...S! .O�b�?X17..4...✓ /9-.441.l............................ <br /> 5. Dimensions of Plot ............ ............................ ..................7 ........................... d .................. <br /> (Frontage) (Depth) (No.-of Square feet) <br /> 6. 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 <br /> By-law requires the permit you seek? <br /> 9. State present use of premises ...../v. /I ...................................................................1 �.. .... .. tet , <br /> 10. State proposed use of premises .... . ..... r9/vT....SXjQ,41............................... <br /> 11. Any further remarks in explanation of this application ........................................................................ <br /> ................................................................................................................................:................................................................. <br /> Applicationreceived by ................................................................................................................................................. <br /> Hearing date set for .................................... 19...... ... .... <br /> R R C EIV E D Signature of applicant <br /> 3MAY 5 :9>' 1 <br /> �171/CC � �ilf <br /> MASt R TOWN amW <br />