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Town o Mash ee <br /> MAN11FLE ZUNIING BOARD OF APPEALS <br /> PETITION FOR A SPECIAL PERMIT 16 Great J�eck road J�orth <br /> AT,ishpee, lMlassachusetts 02649 <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: — - a— <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: M ic� ;e 1� GI l V►IOtiO wj�s�o G (, e5 �Q$ Y�7a35 <br /> r <br /> (Full name) (Address) (Telephone #) <br /> Property Owner:klt�a t 1_&A)j e Ic� l Y tVo vylosco I�c� GIkS( 3-6 J Y77 a39 y <br /> (Full name) (Address) (Telephone #) <br /> Location of Property: fi/Io,ou M0.5co fou Lufsr Zoning District R-3 <br /> (House Number and Name of Street) a <br /> Assessor's Map/Parcel Number: Map # Parcel # 7 LI <br /> Dimensions of Lot: a Y, <br /> /IQ , <br /> Area d,5— �;_9 <br /> (Frontage) (Depth) (Square Feet) <br /> How long have you owned premises? c�0 <br /> State present use of premises: <br /> State proposed use of premises: <br /> What section(s) of the Zoning By-laws requires the permit you seek? 7 Ll <br /> N I RJ' I'VEQ Q, U cti r^ <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 }4-0 a and it <br /> has been determined that this project does does not fall under the <br /> *itioner's <br /> on of t e Conse ion Commission. <br /> Signatur <br /> QC :Z 1,� 6- lff �O <br /> ,,-� 1 i c, t,: 1�� ;N1 0i Agent's Signature/Address/Phone # <br />