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MASHPEE ZONiNQ BOARD OF APPEALS <br /> PE'IZ1ZON VOR A SPECIAL PERM <br /> Under Massaclmsetts Gmearal Laws Chapter 40A§9 and <br /> Town of MaWgm Zoning Bylaws of 1987 <br /> Date: <br /> The undersigned Petitions for a Special Ponit under the Mashpee Zoning Board of Appeals as <br /> required by pertinent sections of the Zoning By-laws of 1987: <br /> Pro ym �:h8 �' zon%gg Distract:j— l <br /> Petitioner. OUAS'S�•trn'Vjs,t«.... . <br /> �•. �A ?—aTax IAK3 5brms 4G's 4754mv) q4qy <br /> (Address) (Phone#) <br /> Property owner.68 6461bo <br /> OF diffavat from Petitioner) (Address) <br /> (Phone� <br /> Registry of Deeds Title Reference:Boolc fV Page: 2Z <br /> and/or Certificate of Title#:_sand Court Lot#: Plan#: <br /> Assessor's Map/Parcel#: Map;_f,Parcel: ,�� lion: <br /> Dimensions of Lot: Ob f Area:_SDI, Ink- <br /> Frontage Depth Square Feet <br /> How long have you owned the premises?2�t a3• <br /> Cmrent use Ofprmgses:_U&GQ*.-� <br /> Proposal: <br /> Pertinent Sect ions)of the Zoning By-laws:L?4-s yI21�.. )9 y- <br /> ZE A Public Hearings date ed foz:1*114 <br /> 'DOWN Ci E1tK <br /> Pm STAMP• <br /> etiti s Si <br /> ,,pa <br /> Owner's Sigaature <br /> OCT 0 6 20U <br /> Agent's Signature/Address/Phone# RECEIVIE BY <br /> Mail certified copy of Decision to: <br /> REVISED JANUARY 2013 <br />