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C y <br /> 15-w, ,J a �. <br /> MASHPEE ZONING BOARD OF APPEALS <br /> PETITION FOR A SPECIAL PERMIT <br /> Under Massachusetts General Laws Chapter 40A §9 and <br /> Town of Mashpee Zoning By-laws of 1987 <br /> To: Mashpee Zoning Board of Appeals Date:_ <br /> The undersigned petitions for a Special Permit from the Mashpee Zoning Board of <br /> Appeals, as required by pertinent sections of the Zoning By-law of 1987: <br /> VI <br /> Petitioner:R(c'144A V © �(c�e core( �I S�/art , s�'' s�' �!/�Gk c��1T•� .� ✓� <br /> (Full name) (Address) (Telephone #) f% <br /> Property Owner:C 7R LAN 16Y /I 010'Y c>zri G Lam/ ? - "3�.,. ���5-- <br /> (Full name) (Address) (Telephone #) <br /> Location of Y <br /> Pro ert ' "` E � Zoning District <br /> Property: <br /> (House Number and Name of Street) <br /> Assessor's Map/Parcel Number: Map # Parcel # <br /> Dimensions of Lot: Area <br /> (Frontage) (Depth) (Square Feet) <br /> How long have you owned premises? <br /> State resent use of remises: cc, 4 b(A ,p P ; <br /> State proposed use of premises: re ' <br /> What section(s) of the Zoning By-laws requires the permit you seek? <br /> c <br /> Have you submitted plans for above to the Building Department? � <br /> Hearing Date set for: <br /> I do hereby state that I have conferred with the Building Commissioner on and it <br /> has been determined that this project does does not fall under the <br /> jurisdiction of the Conservation Commission. <br /> �' tf�� Ofl• �'( A0N <br /> Petitioner's Signature ��� <br /> i' p ty <br /> d' 101 Graf, r L, 1 A- <br /> Li <br /> ,0 <br /> Agent's Signature/Address/Phone # <br />