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COMMONWEALTH OF MASSACHUSET''MWN OF MASHPEE <br /> rows CLERK <br /> TOWN of MASHPEE <br /> PLANNING BOARD '10 JUL 14 A 9 *5 <br /> APPLICATION FOR SPECIAL PERMIT <br /> Date 9-/Z'/0 <br /> The undersigned hereby applies for a Special Pernnit from the Planning Board. <br /> Name-of Applicant dce�� riB 1� Phone Soi- 32G-SS2� <br /> Address <br /> Owner, if different Phone <br /> *w--Kddress <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 Book A Qa Page <br /> or Land Court Certificate of Title No. <br /> Location and description afproperty . S'9 /rIG•, r � , s.:�� F j,+,& /use <br /> Mashpee Assessors Map(s) and Block(s) 13 `/2 Al <br /> ql- <br /> Zoning'District(s) in which property is located <br /> How long have you owned the property? Z y r <br /> Section(s) of the Zoning Bylaw which require.the permit you seek T <br /> Present use of property S��t�o �a,•.. �Y ��-� - ---- - <br /> Proposed use of propertydr,S�n9,4 j � <br /> Check one: Applicant will send notice to abutters via certified mail, with return receipt to <br /> _ Mashpee Planning Board, and will provide certified abutters list. <br /> Applicant requests that Planning Department send notice to parties in interest via <br /> certified mail, and will provide labels and certified abutters list. <br /> Signature of Owner or Authorized Representative <br /> Attach written authorization signed by owner. <br />