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°sem TOWN OF MASHPEE <br /> i I „ <br /> 5 BOARD OF APPEALS <br /> Application for a Special Permit <br /> (As re(, _red by pertinent sections of the ZONING BY-LAW of 1971) <br /> Date ..........MaY...ls............... ... 1994 . <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 FalmouthHospital Foundation, Inc. , Ter Heun Drive, Falmouth MA 02540 <br /> . .. .. .............................................................I................I.... ..... <br /> .. <br /> (Full name) (complete address including zip code) <br /> 2. Owner: .....P..H...............Trust <br /> ........................................................................................................................................... <br /> 3. Occupant (if other than owner) .........George Silva M.D. <br /> 4. Location of Property ..Building...B.....Deer-Crossing...Rt....28............ .............................................. <br /> 5. Dimensions of Plot .........................-....................... ...................................................................... <br /> ........................ <br /> (Frontage) (Depth) (No.. of Square feet) <br /> 6. Zoning District in which property is located ................................................................................................. <br /> 7. How long have you owned this property? ................N..A.,..................................................................... <br /> ....... <br /> 8. What section, OR sections, of the Zoning By-law requires the permit you seek? ........................ . <br /> 9. State present use of premises ..........Vacant.................................................................................................... <br /> 10. State proposed use of premises ........Me.di.cal...Practioe........................................................................... <br /> 11. Any further remarks in explanation of this application. ........................................................................ <br /> ................................................................................................................................................................................................... <br /> Applicationreceived by ................................................................................................................................................. <br /> Hearing date set for .................................... 19...... ....iL.c-CJc�(...�J.;..... ......./..co 9[cQw`C- <br /> Signature of applicant <br /> Ruth B. Burrough, President <br /> RRECEIVED <br /> :Nu@ 6198fea <br /> �. . <br />