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' Town of Mashpee <br /> " e 16 Great Neck Road.North <br /> ? % Mashpee, MA 02649 <br /> i u <br /> 41.1 15 <br /> PETITION FOR A SPECIAL PERMIT <br /> Date � .mm� m_.M..'. L <br /> he undervigned hereb)r petitions the .Zoning Board ojAppeals,16r a,.I)eci al I)ermit pu su ant t()MGL <br /> Chapter 40A ,y 9 and own of.M zshIme Zoning Bylaw,0eclions, 174-17.1; 174-24 C <br /> Name of Applicant: . , . . .... .a.__ . . ..., _Phone#: ' <br /> �. .. C ... e <br /> � <br /> Mailing Addre s � .�. ,.v .... . M Email: V, <br /> ..____..._....,, , <br /> Name of Owner (if different). . ._ p �....... � �.�- Phone# .. .. _ .. <br /> i . _ . "�.. <br /> t Prol)erty Address: <br /> )lu�..1" ... .,w (�i y��� ... .� .� <br /> ( � � Zoning District: <br /> Street State Zip Code) <br /> Land Court Certificate of Title No. <br /> Count Attach copy ofmost recent g d) <br /> eed of property _,,.. Y Registry ent�recorded deed... <br /> Page or <br /> Mashpee Assessor's Map(s)and Block(s) � t <br /> Is this property within any of the following: <br /> New Seabury Special Permit area? DYES ® NO <br /> Any overlay District(s)? DYES ❑ NO <br /> Cluster subdivision? DYES 2 NO <br /> Please identify which overlay districts apply and if in a cluster subdivision,please indicate the Book and Page <br /> of the recorded special permit decision authorizing the cluster if applicable. If no special permit please indicate <br /> the year that the lot was created and the applicable dimensional criteria: <br /> Lit <br /> For project seeking a Special Permit under Section 174-17.1 Raze and Replace, please identify the <br /> applicable pre-existing nonconformities: <br /> 0 Lot Area 0 Frontage 0 Lot Coverage 0 Building Height 0 Side Yard Setback(s). <br /> 0 Front Yard Setback 0 Rear yard setback ❑ Setback to water and wetlands. <br /> j I' f,prI,& rfM ary, <br />