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10 ,. <br /> MASHPEE ZONING BOARD OF APPEALS <br /> PETITION FOR A SPECIAL PERMIT <br /> Under Massachusetts General Laws Chapter Q 9:ail <br /> Town of Mashpee Zoning By-laws of 19� 's t.< ..E R K <br /> TO: Mashpee Zoning Board of Appeals Date: • � <br /> The undersigned petitions for a Special Permit from the Mashpee Zoning Board of Appeals as <br /> required by pertinent sections of the Zoning By-law of 1987: <br /> Property Address: Zoning District: <br /> Current Property Owner: /2 f <br /> (Address) (Telephone#) <br /> Registry of Deeds Title Reference: Book: Page: <br /> or Certificate of Title#: / and Land Court Lot#: A14 and <br /> Plan -,;7 <br /> Town Ma#:Ma /Parcel/Lot j } <br /> p p: 14 Parcel C/i� Lot: <br /> Dimensions of Lot: 160 lo2,S Area: <br /> Frontage Depth Square Feet <br /> How long have you owned the premises?_ <br /> Current use of premises: Q,6 C <br /> posed use of premises: AeeaA <br /> Pertinent Section(s) of the Zoning By-laws: <br /> Have you submitted plans for above to the Building Department? <br /> ZBA Public Hearings date scheduled for:_, ,> �/' <br /> I do hereby state that I have conferred with the Building Commissioner on <br /> and it has been determined that this project does does not <br /> fall under the jurisdiction of the Conservation Commission. <br /> Petitio er's Signature <br /> Agent's Signature/Address/Phone# <br />