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,41--H nF <br /> �c�vv�t of'1 '1asi��ee <br /> ll 16 Grcaf,,V'ck Xoad ukbr•th <br /> Zt31as1ttt�m 1�I�rssaclirrsetts 02649 <br /> PETITION FOR SPECIAL PERMIT <br /> Per MGL Chapter 40A §9 and Town of Mashpee Zoning By Laws of 1987 <br /> Date Zoning District <br /> Print <br /> Property Address 7 1?,�tmem'A - <br /> Map 11 qParcel ' a <br /> Petitioner Phone <br /> Email <br /> Phone <br /> Owner's Name i <br /> Is this property within the Precontact or the Postcontact Archaeological Sensitivity areas OYES ❑NO <br /> Applying for (Check appropriate box(s)): <br /> ❑ Accessory Apartment El Commercial El Sign El Bed and Breakfast El Private NonProfit <br /> ❑Hospital/Nursing Home El Outdoor Recreation ❑ Indoor Recreation gRaze and Replace <br /> ❑Lumberyards/Landscaping ❑ Automotive Repair ❑Drive In ❑Wireless Services []Medical <br /> Uses ❑Kennel ❑Retail Sales ❑Eating Establishment []Other <br /> BRIEF DESCRIPTION s- ` <br /> C <br /> Owner's Signature or letter <br /> Petitioner's Signature <br /> Mail certified copy of Decision to: a <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ._ . _ . _ . _ . _ . .. . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . .. . _ . _ . . <br /> � �� TTOWN CLERK <br /> Scheduled Date �& /�= CMPj]pkrr, p <br /> JAN 3 0 2019 <br /> Rev. 1/18/19 RECEIVED BY <br />