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Town of Mashpoo <br /> 16 Great Neck Road North <br /> Mashpee, MA 02649 <br /> PETITION FOR SPECIAL PERMIT <br /> Per MGL Chapter 40A §9 and Town of Mashpee Zoning By Laws of 1987 <br /> Date <br /> Z g <br /> Zonin District <br /> Print <br /> Property Address <br /> Z C7 .... _.... . <br /> Mal) ............................._..�.�,�.. .�. °Parcel . �... ..__....M._.....w�__�w_ <br /> Petitioner Phone <br /> _.................._. .........t'" � Y ` <br /> ... w ............�.... S_�d-.�.............._...._ <br /> Email ..__._.. p'eC w iw ,. ..m.nw.._............._.. <br /> Owner's Name_ ....................................................................... Phone._.w.....S70 0. .,. ®6 J_�_..... <br /> Is this property within th(Pre-conta),)r the Post-contact Archaeological Sensitivity areas YES ❑NO <br /> Applying for(Check appropriate box(s)): <br /> ❑Commercial ❑Sign ❑Bed and Breakfast []Private Non-Profit ❑Hospital/Nursing Home <br /> ❑Outdoor Recreation El Indoor Recreation Raze and Replace ❑Lumberyards/Landscaping <br /> ❑ Automotive Repair ❑Drive In ❑Wireless Services ❑Medical Uses ❑Kennel ❑Retail Sales <br /> ❑ Eating Establishment ❑Other <br /> �e.. . .._C1 ... ( .i C�....._.._. <br /> BRIEF DESCRIPTION — m J <br /> Uf I Ci �..........www.w......._..www_w_ . �(J.ii+l..... ..www. !�!✓ �'..�17 Lf�'.�� ��ic4 <br /> Owner's Signature or letter <br /> ......................wwwwww.­�­�­. .. _ w..................... <br /> .......... <br /> ....... <br /> ............................. <br /> ...�..._................... <br /> _ ..... <br /> Petitioner's Signature ...... ..................www...............................w ,::...............................................................,..............M ..m.. .........._...w... <br /> Mail certified copy of Decision to: 1._ ...G <br /> .......... E 1e............ .__ .__ ww __..m_. ............ ���...._...._.M.......M...__ <br /> _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ <br /> Scheduled Date TOWN CLERK <br /> _.. w.. _.. .....w.__ DATE STAMP <br /> Rev.0912712022 <br />