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` TOWN OF MASHPEE <br /> BOARD OF APPEALS <br /> f NSA N�11�1 <br /> Application For a Special Permit <br /> ~f 686 :'g Z d3S - <br /> (As required by pertinent sections of the ZONING BYLAW Of 19&x) <br /> Date `.�9 . <br /> To the Board of Appeals <br /> Mashped, Mass. <br /> The undersigned, hereby applies for a Special Permit from the BOARD OF <br /> APPEALS; as required by pertinent provisions of the Zoning By-Law of 1'9/87: <br /> LC1.4 �C .✓V. ,Py..( .Q:. .���/S �/.�T �Jh 5f /�7tihn.S 0.2 e. o/ <br /> 1 . Applicant p... ..... . ... .... <br /> + (Full name)] / (complete address including zip code) <br /> 2. owner PuJ» 4/7J- 9�S!3 <br /> .. .. . . /► /. .. ... . .. .. .. . ... .. . .... <br /> 3. Occupant (if other than owner) ..!?.hCILkel.....(f/41f-llpr.. ........... .. . <br /> 4. Location of Property .F �; ......... . . <br /> 5. Dimensions of Plot ......ll?4 000 <br /> (Frontage ) (Depth) (No. of Square feet) <br /> 6. Zoning District in which property is located �.� - 91d-(T o.,-4 */06 t/a7 <br /> . .. . . . ... ... . . . <br /> 7. How long have you owned this property? �j_ y� <br /> 8. What sectpn, OR sections, of Pe 7,$qping By�1 requires the permit you <br />` seek? ?.��: . . .. .lo . .� .. . /7..� ..f?... ... . . ... .. ... . . <br /> Nh ' 9. State present use of premises ��?^ <br /> 10. State proposea use of premises .8"J4LN:�. .ShuWre�n��,. .�iUN� ha��4 y �4's <br /> 11 . CAny further remarks/in explanation of this <br /> application . .. . . . . .... .... . . . . <br /> Application received by .. .... . . .. .. . . . . . .. . . . . .. . ... .. ....... . . . <br /> Hearing date set for . . . . . ... .. . .. . . . ..19.. . . <br /> - - -- - - - - - -- - - - - <br /> Signature of Applicant <br /> . . . . . ... ..... . ... . . . <br /> Telephone <br /> J <br />