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Telephone <br /> SECTION 5.OTHER DETAILS <br /> Cite Appropriate <br /> Bylaws <br /> Is this property within the Precontact or the Postcontact Yes No <br /> Archaeological Sensitivity areas? <br /> Petition (°'') Residential Petition Commercial Petition <br /> Applying for <br /> `-� <br /> Accessory Commercial ® Sign Bed and ® Private Hospital/ <br /> Apartment Breakfast NonProfit Nursing <br /> Home <br /> Outdoor Indoor Raze and Lumberyards ® Automotive ® Drive In <br /> Recreation Recreation Replace /Landscaping Repair <br /> Wireless ® Medical ® Kennel ® Retail Sales El Eating Other <br /> Services Uses Establishment <br /> Brief Description Petitioner Is seeking approval to adjust the building footprint for the northerly most duplex unit to widen the <br /> building by approximately nine feet to accommodate the proposed purchasers design request.Revised Site Plans <br /> by Baxter Nye are attached. <br /> Registry of Deeds Requirements <br /> Title Book 31859 Page 295 <br /> Reference <br /> Certificate of Title Land Court Lot Plan <br /> Number Number _.__._:_ . .._. Number _ <br /> SECTION 6-OWNER AUTHORIZATION <br /> am Owner Agent <br /> the <br /> I,SOUTHWORTH MASHPEE PROPERTIES as owner of the subject property hereby authorize lack McElhinney to act on <br /> my behalf,in all matters relative to work authorized by this Zoning Board of Appeals petit on. <br /> Property Owner's OR Copy of Signed Contract to be attached after submitting <br /> Imce/hln@aoLcom ®Email application <br /> __ . . -- <br /> Property Owner's <br /> Telephone No. <br /> I do hereby certify under the pains&penalties of perjury that the information provided Date <br /> above is true and correct. - <br /> SECTION 7-DECLARATION <br /> fr I do hereby certify under the pains&penalties of perjury that the information Date 01103120 <br /> provided above Is true and correct. — - ---- <br />