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S, . ; m? <br /> Town (?IT ccsl Fixe <br /> �! 16 Op L )ad i�r llt. <br /> d` -A 02-649 . <br /> PETITION FOR SPECIAL PERMIT <br /> Per MGL Chapter 40A §9 and Town of Mashpee Zoning By Laws of 1987 <br /> Date ( ir Zoning District C� <br /> Print 4(jti <br /> Property Address l l./ ` ' <br /> Map _ <br /> Parcel C <br /> � <br /> Petitioner � Phone � PF. 71e <br /> �J Email �P-- <br /> Is this property within the Precontact or the Posteontact Archaeological Sensitivity areas El YES LINO <br /> Applyingfor (Cheek appropriate box(s)): <br /> ❑ Accessory Apartment ❑Commercial []Sign []Bed and Breakfast ❑Private NonProfit <br /> ❑Hospital/Nursing Home []Outdoor Recreation ❑ Indoor Recreation ❑Docks <br /> ❑LumberyardslLandscaping ❑ Automotive Repair ❑Drive In ❑Wireless Services ❑Medical <br /> Uses Kennel []Retail Sales ❑Eating Establishment ❑Other <br /> BRIEF DESCRIPTION <br /> bpva�d hw 4 d1 -2 111� <br /> Qwne s Signatune letter <br /> Petitioner's Signature <br /> r � <br /> Mail certified copy of Decision to: r <br /> . . . . ...,. . . . . . _ . _ . ,,.., . ,.., . . . . . _ . ..,. . . . . . _ . _ . . . . . _ . _ . <br /> Scheduled Date �� _C /a , je/e- TOWN CLERK <br /> ---�--- DATE STAMP <br /> MASHPEE TOWN CLERIC <br /> Rev. 6/.28/18 OCT 2 4 291$ <br /> RECEIVED RY <br />