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i <br /> TOWN OF MASHPEE <br /> BOARD OF APPEALS <br /> fAs ca <br /> Application for a Special Permit <br /> (As ret, .red by pertinent sections of the ZONING BY-LAW of 1971) <br /> Date ...0?........a�f............ ... 19.. y <br /> To the Board of Appeals <br /> Mashpce, 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 -G"Q�icl47.'...d... L(/ .S.i.. ......... n..,1-.....6Q...../_�? Sfl/_- ...oaf 519 <br /> (Full name) (complete address including zip code) <br /> 2. Owner: ....cGc/C7�.. .... .....0/4.5.x.. ....................... <br /> ............................................................ <br /> 3. Occupant (if other than owner_)/..................................................................................................................... . <br /> 4. Location of Property .. lJt�.T.C�.......c� ................................................................................................ <br /> 5. Dimensions of Plot .................................................. .............................................................................................. <br /> (Frontage) �Q (Depth) (No. of Square feet) <br /> 6. Zoning District In which property is located ...C,JGLS.li7,F.S..S..................................................... <br /> 7. How long have you owned this property? ......... ..9 .3.......................................................I......... <br /> ......... <br /> 8. What section, OR sections, of the Zoning By-law requires the permit you seek? ...5. ....... . <br /> 9. State present use of premises ......r �4....... <br /> .��/O��r'E'.f..................................................... <br /> 10. State proposed use of premises .......�.Q.-7e........................................................................................ <br /> 11. Any further remarks in explanation of this application ........................................................................ <br /> Applicationreceived by ............................................................................�....�........../...q.....,_............................................ <br /> Hearing date set for .................................... 19...... `=% � /.�f '..l!�....C %% ........... <br /> RECEIVEDSignature of applicant <br /> 1M 20 184 <br /> 4a� j . �- <br /> IMASHPU TOWN CLERK <br />