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is <br /> 5,fi41Efy �y d <br /> of-Al shp <br /> 16 Ch-cat,N�c•k!koacl Xor�th <br /> ylcaslpee,Alassuchtaseaas U;`649 <br /> PETITION T I' <br /> Per MGL Chapter 40A §G and Town of Mashpee Zoning By Laws of 1987 (§174-17) <br /> Date x T ,✓ <br /> Zoning District <br /> Print <br /> Property Address o tto YK011 co <br /> Mal) Parcel <br /> Is property within a Special Permit area/overlay District/Cluster subdivision? ❑YES <br /> If YES, name of area/district/cluster <br /> Petitioner L a G Phone > t a~°a <br /> Email,Emailke i,i t, _ c-lwe J cc,-�i n.Lt tv.,okS, 0 '1 <br /> Owner's blame i,1,k Phone <br /> Project is a: ❑Deck ❑Addition ❑House []Pool Other , p <br /> The Subject: El Raze and Replace ❑Extension ❑Change of Use ❑Alteration [I Lot CoveragE <br /> 'Other <br /> Owner's Signature or letter a , <br /> LZ� <br /> Petitioner's Signature ( z <br /> Mail certified copy of Decision to: k 5.44 , , , k, _ A ie e 1 <br /> TOWN CLERIC, <br /> -DATE STAMP <br /> Scheduled Date ()I <br /> `J <br />