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h`tit'I�VYyx- .- <br /> &,-'�- 4 Town Qf Mashpee <br /> 16 Great J1feck-koad X01"111 <br /> +�Y Mashpee,Alosachusettg 02649 <br /> PETITION FOR <br /> Per MGL Chapter9 and Town of Mash pee Zoning By Laws of 117 <br /> 40A § p <br /> Date L & Zoning District <br /> print <br /> Property Address Z CO <br /> Map t 1 11,2-- - Parcel -6-�) <br /> Petitioner 11)� Phone 3,n Fs'`7r7or <br /> Email ��� � M v�� �6u i�f►/�ln , �fl/1 . <br /> Is this property within the Precontact or the Postcontact Archaeological Sensitivity areasLr-1YE5 ❑NO <br /> Applying for (Check appropriate box(s)): <br /> ❑ Accessory Apartment ❑Commercial ❑Sign ❑Bed and Breakfast []Private NonProfit <br /> ❑Hospital/Nursing Home El Outdoor Recreation ❑ Indoor Recreation ❑Docks <br /> ❑LumberyardslLandscaping ❑ Automotive Repair ❑Drive In ❑Wireless Services <br /> ❑Medical Uses ❑Kennel ❑Retail Sales ❑Eating Establishment Other <br /> BRIEF DESCRIPTION � '(rZ - �yl[-!7 � k� w+ G-� - i"jG E✓ <br /> ry TO <br /> Owner's Signature or letter <br /> Petitioner's Signature <br /> Mail certified copy of Decision to: P7 Llq M v /✓ <br /> � L 7 M <br /> >• • �• a Y� Y �t • Y . • . • . • . • . • Fri • . Y . • . • i Y . • . • ^ • . • . Y . Y <br /> CLERK <br /> Scheduled Date -`� A ? � � 0)U / (D DATE TAMP <br /> MASHPEE TOWN CLERK <br /> Rev. 3106115 APR 1 1 2916 <br /> RECEIVED BY <br />