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ut1 <br /> M aslijJm?��QS�SfIC�xiISE' .5,02640 <br /> PETITION FOR SPECIAL PERMIT <br /> Per MGL Chapter 40A §9 and Town of Mashpee Zoning By Laws of 1987 <br /> Date 0 �� Zoning District <br /> Print i <br /> Property Address ( �A <br /> � Y <br /> Map Parcel !) / <br /> Petitioner 1\ L�� -L�fi +� Phone 506-3.ZU- J.3 <br /> Email e0L L rn to '7 # q Ad <br /> Is this property within the Precontact or the Postcontact Archaeological Sensitivity areas ❑YES ❑NO <br /> Applying for (Check appropriate box(s)): <br /> Accessory Apartment []Commercial ❑Sign ❑Bed and Breakfast []Private NonProfit <br /> ❑Hospital/Nursing Home ❑Outdoor Recreation ❑ Indoor Recreation El Docks <br /> ❑Lumberyards/Landscaping ❑ Automotive Repair ❑Drive In ❑Wireless Services ❑Medical <br /> Uses ❑Kennel ❑Retail Sales ❑Eating Establishment ❑Other <br /> BRIEF DESCRIl'TION_ N Lu w R PT , t3 Q-1 . Vylw V, IQA) <br /> Owner's Signature or letter <br /> LJ r <br /> Petitioner's Signature <br /> `Mail certified copy of Decision to: . <br /> Scheduled Date TOWN CLERK <br /> DATE STAMP <br /> MASHPEE TOWN CLERK <br /> Rev. 6/28/18 OCT 2 2 2018 <br /> RECEIVED BY <br />