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Town of Mashpee <br /> MAZ511FEE LU ING BOARD OF N � <br /> APPEALS <br /> ,, y PETITION FOR A SPECIAL PERMIT 16 Great JVeck load Xorth <br /> °�`�� Under Massachusetts General Laws Chapter 40A §M9 <br /> lYlassachusetts 02649 <br /> Town of Mashpee Zoning By-laws of 1987 <br /> To: Mashpee Zoning Board of Appeals Date: 1 < ( ©Z <br /> QM <br /> The undersigned petitions for^"Spe, ermit from the Mashpee Zoning Board of <br /> Appeals, as required by pertinent section* of the Zo iing By-law of 1987: <br /> Petitioner. <br /> ��(Fullrn (Address) (Telephone #) <br /> Property Owner: C9p Q AAr"' ' <br /> (Full name) (Address) (Telephone #) oz/,V73 <br /> 77 �' <br /> Location of Property: se Nu1 Zoning District <br /> (Houmbe and Name of Street) <br /> Assessor's Map/Parcel Number: Map #_� Parcel # `77 <br /> Dimensions of Lot: 120.Cn 17 1�.Q� Area <br /> (Frontage) (Depth) (Sq are Feet) <br /> How long have you owned premises? 1 <br /> State present use of premises: <br /> State proposed use of premises: <br /> What section ) f t Zo ing By-laws requires the perm you seek? iC�� l�'�- —3 l <br /> Me�Pc� boa .Spc� CCS O� ��aw-E- - 1'50 Q <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 B_jd1ding Com sioner on 11-72-n and it <br /> has been determined that this project . does does not fall under the <br /> j is ' tion o ation Commission. <br /> Pe i loner's Signa ure <br /> x <br /> Agent's Signature/Address/Phone # <br /> tXJ <br /> 4§ <br />