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MASHPEE ZONING BOARD OF APPEALS <br /> PETITION FOR A SPECIAL PERMIT <br /> Under Massachusetts General Laws Chapter 40A §9 and o <br /> Town of Mashpee Zoning By-laws of 1987 C) <br /> ® c-) <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: 3�L rn <br /> Petitioner: <br /> V <br /> (Full name) (Address) (Telephone #) <br /> Property Owner: _Ogi. <br /> (Full name) (Address) (Telephone #) <br /> Location of Property: W- Mq/r✓ Zoning District <br /> (House Number and Name of Street) <br /> Assessor's Map/Parcel Number: Map # Parcel # � ✓ <br /> Dimensions of Lot: 741�6' Area <br /> (Frontage) (Depth) (Square Feet) <br /> How long have you owned premises? 191 P"' ' yes' <br /> State present use of premises: SIN ��MIZ-, e ` <br /> State proposed use of premises: <br /> What section(s) of the Zoning By-laws requires the permit you seek? /7 4- <br /> Have you submitted plans for above to the Building Department?Lf <br /> Hearing Date set for: Z Q <br /> I do hereby state that I have conferred with the Building C mmissioner on and it <br /> has been determined that this project does does not fall under the <br /> jurisdiction of the Conservation Commission. <br /> Petitioner's Signature <br /> 11-D 1&1,41V 6 Z S i <br /> Agent's Signature/Address/Phone # <br />