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a o <br /> T 0 W H CJ_' <br /> Toy�pi <br /> MASHPEE ZONING BOARD OF APPEALS <br /> PETITION FOR A VARIANCE <br /> ,()6 JAN 19 pit .39 Under Massachusetts General Laws Chapter 40A §10 <br /> and Town of Mashpee Zoning By-laws <br /> To: Mashp ee Zoning Board of Appeals Date: <br /> _ <br /> The undersigned Petitions the Mashpee Zoning Board of Appeals to vary, in the manner <br /> and for the reasons hereinafter set forth,the application of the provisions of the Zoning By-laws <br /> to the following described premises: <br /> Petitioner: / <br /> (Full nai (Address) (Telephone #) <br /> Property Owner m <br /> (Full name) (Address) A (Telephone #) <br /> cation of Pro ert :. -' �% Zoning District _ <br /> Lo p Y <br /> (House Number and Name of Street) <br /> Assessor's Map/Parcel Number: Map# -- Parcel# <br /> Dimensions of Lot: Area acre, <br /> (Frontage) (Depth) (Square Feet) <br /> How long have you owned premises? <br /> What is current use of the property? <br /> Size of existing buildings on the lot: <br /> Size of proposed buildings: <br /> State section(s) of the Zoning By-laws and nature of Variance relief requested: l 7 I <br /> Have you submitted plans for above to the Building Department? - '0 <br /> Has permit been refused? <br /> Hearing Date set for: <br /> I do hereby state that I have conferred with the Building4�docs <br /> sioner on and it <br /> has been determined that this project does not fall under the <br /> jurisdiction of the Conservation Commission. <br /> � <br /> Petitioner s ignature ' c > > J <br /> Agent's Signature/Address/Phone# <br />