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,r <br /> Development of Regional Impact (DRI.) <br /> Referral Forrn <br /> Please attach a-copy of the original municipal development permit application or site plan <br /> review, subdivision, or other application showing the date on which it was recetved by the <br /> M urLicipal Agency. receipt of ith is information via the U.S. l iar or delivered in person to the <br /> Cape Cod Comm lion constitutes a referral for purposes o Chapter 1 of the Acts of 1989, a <br /> amended. F .. <br /> Referred by: <br /> 'Town and Agency <br /> M h p e e Planning - <br /> g cy <br /> o f `i cal <br /> . Mandatory referral <br /> .Discretionary referral <br /> Limited-Discretionary referral (please see the back this form <br /> Project Name. Augat Self-Storage Bays <br /> Partner of Duck Fond L.P. <br /> Project Proponent N H.Le tuarrt Bornstein, P-re -m. of Duck Fond oor , or .Gen <br /> Address 297 North St . <br /> Hyannis, MA 02601 <br /> Telephone �- <br /> Brief description of -the project including, where -applicable, gross floor area, <br /> fats, units, acres and specific uses: <br /> Seit-storage 167, 400 Basements: 2 90 <br /> 3 <br /> 1st <br /> 2 Bu-11dings <br /> Project location: <br /> lob Falmouth Rd. 1 2 <br /> a 02649 - <br /> List municipal agency ies before which a municipal development permit i <br /> pending. <br /> Town o . Mash ee 1 dD <br /> sit <br /> Print Name of Authorized Signature Date <br /> Referring Representative <br /> 'o rward to <br /> Cape Cod Commission <br /> 3225 Main Street 0 <br /> Barnstable, Massachus.etts 02630 <br /> rt <br />