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4mr,s Town of Mashpee <br /> 16 Great Xeck egad Xorth rt <br /> Mashpee,Massachusetts 02649 <br /> n r <br /> MASHPEE ZONING BOARD OF APPEALS �� <br /> V p n <br /> ti' 41: <br /> APPLICATION FOR A SPECIAL PERMIT <br /> As required by pertinent sections of the Zoning By-law of 1987 y <br /> To: Mashpee Zoning Board of Appeals Date: /7 02-000 z <br /> The undersigned applies 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 /> Applicant: v /S - Z o 71 <br /> Full name)) (Address) (Telephone#) . <br /> Property Owner: /,S <br /> Full name) (Address) (Telephone#) <br /> Location of Property: <br /> (House Number and Name of Street) (Subdivision Name) <br /> Assessors Map/Block Number: Map #: -/T Block#: //3 <br /> T?iniynsions of Lot: 91.83 1111215-' Area / 710 <br /> (Frontage) (Depth) (Square Feet) <br /> Zoning District in which premises are located: -3 <br /> °a <br /> How long have you owned premises? <br /> What section(s) of the Zoning By-laws requires the permit you seek? <br /> State present use of premises: xf44ovrrrz4/ � <br /> 'f <br /> State proposed use of premises: <br /> Have you submitted plans for above to the Building Department? <br /> Hearing Date set for: _ ,�G10 a <br /> d.t SNA" <br /> (App i ant's Signat e) ' <br /> -1361 <br /> �s. <br />