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:oti <br /> g'x <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: ,4 -o� <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 /> Petitioner: <br /> (Full name) (Address) (Telephone#) S'o4"•YY ? ^TG�,r� <br /> ri 1; /33—tom='Is 1: ems/ r� 06 ��r 1' <br /> Property Owner: c1cs r "�—� 5- <br /> (Full name) (Address) (Telephone#) <br /> Location of Property: <br /> i 7` Zoning District <br /> (House Number and Name of Street) j <br /> Assessor's Map/Parcel Number: Map# Parcel# <br /> Dimensions of Lot: Area <br /> q, <br /> (Frontage) (Depth) (Square Feet) <br /> How long have you owned premises? *c4cAT <br /> State present use of premises: <br /> State proposed use of premises: tip, ' r <br /> What section(s) of the Zoning By-laws requires the permit yo seek? <br /> Have you submitted 75T <br /> ove 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 /> Petitioner'j` Si nature <br /> 148 LZ Vir tip <br /> 3s# `j , <br /> Agent's Signature/Address/Phone# <br /> 1AHW ; :ICJ ` 101 <br />