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Town of Mashpee <br /> 16 Great Neck Road North <br /> Mashpee, MA 02649 <br /> ski <br /> PETITION FOR A MODIFICATION <br /> Date /� 1� Zoning District--A3 <br /> Print <br /> Property Address 15eloeht-5 • '1 rt �L--. <br /> W... .. ........ ..... __...—_ ____..... .... <br /> Petitioner t,�,�"�1�'.�,�':� �' <br /> .���'✓ <br /> Phone ------------------------------- <br /> c <br /> r <br /> Owner's Name �1lJl ..w............................._G'r" '// Phone G e Ige <br /> ..................... _......_..... _ _____. ............................... <br /> Email �:.._...... ..- <br /> ZBA Original Docket <br /> Project is a: ❑Deck ❑Addition ❑House /Other <br /> Proposed Modification XI --..... <br /> -S� ry �'" <br /> Current Lot Coverage % Proposed Lot Coverage„ s/i % <br /> ...__.... , <br /> Owner's Signature or Letter ... ._ ............... _..... <br /> Petitioner's Signature <br /> Mail certified copy of Decision to <br /> _ . . . _ . _ . . . . . . . . . _ . . . . . . . . . _ . . . _ . e . _ . . . _ . . . . <br /> Scheduled Date " � — TOWN CLERK <br /> __........._..... _...�..........._........_....... DATE STAMP <br /> Rev.12/30/22 MAR '2 _ 35 <br />