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MASHPEE ZONING BOARD OF APPEALS <br /> PETITION FOR A VARIANCE <br /> Under Massachusetts General Laws Chapter 40A §10 an <br /> Town of Mashpee Zoning By-laws WN OF � <br /> TOWN 'CLERK <br /> TO: Mashpee Zoning Board of Appeals Date: <br /> *10 MAR 30 <br /> pq <br /> The undersigned petitions the Mashpee Zoning Board of Appeals to vary, in the manner and'for'42 <br /> the reasons hereinafter set forth,the application of the provisions of the Zoning By-laws to the <br /> following described premises: <br /> Property Address: ',. - n Zoning District: <br /> r <br /> Current Property Owner <br /> rep <br /> f �. l <br /> (Address) ` ' (Telephone#) <br /> Registry of Deeds Title Reference: Book: r Page: a (t <br /> or Certificate of Title#:' and Land Court Lot and <br /> Plan#: 16,J <br /> Town Map/Parcel/Lot#: Map: 5, Parcel: �; Lot: <br /> Dimensions of Lot: . Area: . <br /> Frontage Depth Square Feet <br /> How long have you owned the premises? <br /> Current use of premises: e <br /> Dimensions of existing building(s) on the premises: <br /> Dimensions of proposed construction: <br /> Pertinent Section(s) of the Zoning By-laws and Variance relief requested: <br /> D <br /> Have you submitted plans for above to the Building Department? <br /> ZBA Public Hearings date scheduled for: P /i A,1U/I-) <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 /> A�� zz� <br /> etitioner's Signature <br /> Agent's Signature/Address/Phone# <br />