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TOWN OF MASHPEE <br />BOARD Of APPEALS <br />Application for a Special Permit <br />(As required by pertinent sections of the ZONING BY-LAW of 1971) <br />Date........................................... 19..... <br />To the Board of Appeals <br />Mashpee, Mass. <br />The undersigned, hereby applies for a Special Permit from the BOARD OF APPEALS; as re- <br />quired by pertinent provisions of the Zoning By-law of 1971: <br />1. Applicant ..Leisure Village - Massachusetts One Airport Road, Lakewood, N. J. 08701 <br />........................................................ <br />(Full name) (complete address including zip code) <br />2. Owner: HeC. u <br />...................nry .................Labte................................................................................................................................. . <br />3. Occupant (if other than owner) ...........None <br />........................................................................................................ . <br />4. Location of Property ...See attached description <br />...-.......................................................................... <br />5. Dimensions of Plot.........................................................................................................264.41 Acres <br />................................ <br />(Frontage) (Depth) (No. of Square feet) <br />8. Zoning District in which property is located ..... R1 and R2 <br />................................................................................ <br />7. How long have you owned this property? ..The property is currently under a purchase and <br />Bale..agreement"betweeri`th'e"'app'li'c'ant"'an'd' the owner <br />8. What section, OR sections, of the Zoning By-law requires the permit you seek? ...94................ <br />9. State present use of premises....Vacant Land <br />....................................................................................................................... <br />10. State proposed use of premises ..Planned Retirement Community <br />................................................................................................ <br />11. Any further remarks in explanation of this application .. See attached Plans and Exhibits <br />........................................................ <br />................................................... ........ ..;.............................................................................................................................. <br />Application received by ....r.`.L._........................ ...................................). <br />C>� L_, (�•�... <br />Hearing date set for <br />k ...:.. . ...... 7...... 19.!..f{ �it•........................................ <br />;Signature ofamapplicant <br />'I <br />