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Town of Mashpee <br /> F . <br /> 16 Great Neck Road North <br /> Mashpee, MA 02649 <br /> PETITION FOR A MODIFICATION <br /> Date c0_�2 o-2 3....... Zoning District <br /> Print <br /> Property Address . <br /> ......... m. <br /> Petitioner....j'j'1 l..G.. w G_a . . ... _�q e 4 :. . ._.... .....Phone SO� 73 7........ 0. � I <br /> Owner's Name I Gw r... �_....,_.M ...w°��, 2 <br /> ...... ... ,o.._�✓�... �_. ..�.w_y Phone..........�.�... 0 � ..."....._..._.. ....�� �..�I <br /> Email..... ...Jv....'v h v...4! ... _.. �o. ..._ _ ..,�. C o <br /> ZBA Original Docket Number_ m <br /> Project is a: ❑Deck ❑Addition ❑House ® Other u ✓ r'...r, e-/ SPG c 2 <br /> Proposed Modifica <br /> 8� � . .✓ ..w.. �e b Sri af.d,.� <br /> .. www.. . ...._wwwww._..a..�....w.__.... <br /> �.. lol�..=.cf triS/Jevfa�'S ��SCI"et��l� <br /> �,•�-r g�. B S/aG,� i/G �. n >1-1i6 io ui!•�.,.y <br /> Current Lot Coverages % Proposed Lot Coverage % <br /> .. � <br /> Owner's Signature or Letter._. w.. ........ �. . ,,.4 A ... . .� .. ..�...w_w....._.�ww......_ .._._.._.�.....W............ <br /> m . „ . . <br /> Petitioner's Signature <br /> Mail certified copy of Decision to e <br /> Scheduled Date TOWN CLERK <br /> _.wwwww. w_ ww..__.............,. _ _. .w. DATE STAMP <br /> it'd^^VVpui" urn MOW{imps <br /> Rev.12130122 <br />