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MASHPEE ZONING BOARD OF APPEALS <br /> PETITION FOR MODIFICATION OF A SPECIAL PERMIT <br /> Under Massachusetts General Laws Chapter 40A §9 and <br /> Town of Mashpee Zoning By-laws of 1987 <br /> Date: I <br /> The undersigned Petitions for Modification of a Special Permit under the Mashpee Zoning Board <br /> of Appeals as required by pertinent sections of the Zoning By-laws of 1987: <br /> Property Address: �57 /v<Xi c,,vk t is H t� wcty Zoning District: <br /> Petitioner: <br /> (Address) (Phone#) <br /> Property owner: �, +e S+cs 568 E586c � � <br /> (IF different from Petitioner) (Address) J (Phone#) <br /> Registry of Deeds Title Reference: Book: / Page: / <br /> 2i C-417r� <br /> and/or Certificate of Title#: (1 `' Land Court Lot#: -7 `� Plan#: 6 15 " I i� <br /> Assessor's Map/Parcel #: Map: Parcel: Extension: <br /> Dimensions of Lot: i7s 6 f Area: 7 31 7 1 <br /> Frontage Depth Square Feet <br /> How long have you owned the premises? r ir 3i 5iWe <br /> Current use of premises: t) - of r <br /> J-Proposal: 'TO V I_C cA,_ l�o' � ` �-tt� <br /> Pertinent Section(s) of the Zoning By-laws: <br /> ZBA Public Hearings date scheduled for: <br /> TOWN CLERK <br /> DATE STAMP: <br /> Petitio is Signature <br /> Ow er's SigAature MAR 1 /a )011,. <br /> ri <br /> Agent's Signature/Address/Phone# <br /> }; Mail certified copy of Decision to: <br /> REVISED JANUARY 2013 <br />