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4b. Co-Applicant Name(s):Verizon Wireless <br /> Address(es):400 Fribere Parkway-Westwood MA <br /> Phone Number(s):617-489-7211 <br /> (Note:.for wireless communication lowers,a licensed carrier should be.either:an applicant or co-applicant) <br /> 5. Contact Person: <br /> (If different from applicant) <br /> Address: <br /> Phone Number: ( I <br /> 6. Billable Entity: <br /> (If different from applicant) <br /> Address: <br /> Phone Number: ( ) <br /> 7. Owners of Record. Provide the following information for all involved parcels (attach additional sheets if <br /> necessary: <br /> Certificate of Title# <br /> Owner's Lot& or Reg. of Deeds <br /> Map/Parcel Name Plan Land Court Book/Page# <br /> 19/6&7 C.C.M. Realty Plan 39380-A Doc.#536,047 Cert of Title: <br /> Trust,Frank A 124533 <br /> Maki,Jr.,Trustee <br /> 8. There arelare not (circle one) court claims, pending/completed, involving this property (if yes, please <br /> attach relevant information). <br /> 9. List the Local, State or Federal Agencies from which permit or other actions have been/will be sought(not <br /> including MEPA): <br /> Agency Name Permit Date <br /> Mashpee Planning Board Special Permit <br /> FAA Notification <br /> FCC Notification <br /> 10. This project will/will not/may(circle one) require the filing of an Environmental Notification Form under <br /> the Massachusetts Environment Policy Act(Iv1EPA). For information call the Executive Office of Environmental <br /> Affairs at(617)727-5830. Please attach relevant MEPA documents. <br /> I hereby certify that all information provided in this application form and required attachments is we and accurate <br /> to the best of my knowledge. I agree to notify the Cape Cod Commission of any substantial changes in the <br />