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t� iOW a <br /> i <br /> t <br /> Planning Board <br /> i <br /> APPLICATION FOR SPECIAL PERMIT MODIFICATIO <br /> l <br /> Date received by Town Clerk: _.mown Clerk Signature / Seal: j <br /> { <br /> The undersigned hereby applies f r a Modification of the Special Permit approved by the <br /> M�/a,shpee/P/lanninzQ(�Board on <br /> 9� for a project entitled <br /> l' •o X La L. <br /> The original Special Permit and any Modifications have been recorded in the Barnstable <br /> County Registry of Deeds at the following Book(s) and Page(s): <br /> v?004= <br /> f <br /> Name of Applicant Phone <br /> Address 110 S�-ul� ��,�\ �� \ke s �j n <br /> - u �ac�ac�r2 ' S � A A 2L `, � <br /> Owner, if different cA ,P6_.VWhone 60'9-`i�� <br /> Address (01 Ott LJ r� t�ooe�\ 1S + �enr\��taof Mf-\ <br /> Attach copies of(a) most recent recorded deed and (b) tax bill or Assessors'certification, <br /> Deed of property recorded in Barnstable County Registry Book3� �_ Page <br /> or Land Court Certificate of Title No. <br /> Location and description of property: `o c u c r en k1,_t \n ` <br /> ,oc".V<ok � �- Ib ver�ceAc-� r.rc� nn1 nn� <br /> f <br /> Mashpee Assessors Map(s) and Block(s): <br /> Zoning District(s) in which property is located: <br /> j <br /> How long have you owned the property? +`cam (:5\, �'65 j <br /> Section(s) of the Zoning Bylaw which require(s) the permit you seek: <br /> Present use of property:_ ArA <br /> Description of proposed modification (attach plans and documents as required by the Zoning <br /> By-law and Special Permit Regulations): <br /> �e -\�Gc iecA r-�wr ra <br /> l <br /> Signature of Owner or Authorized Representative <br /> L__:�� <br /> Attach written authorization signed by owner. <br /> i <br />