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low <br /> Town ofMashpee <br /> Px2 gj17 <br /> 1j A IJ.0 r <br /> T0`4YIN CL Et R;,'� 16 Great Xeck Pgacl Xorth <br /> •��`��Utz Nashpee, Massachusetts 02649 <br /> MASFIPEE ZONINGMUAAB OVAPP LS <br /> APPLICATION FOR A SPECIAL PERMIT <br /> As required by pertinent sections of the Zoning By-law of 1987 <br /> To: Mashpee Zoning Board of Appeals Date: v�/�40 <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: y o� <br /> (Full name) dd (Telephone #) <br /> Property Owner: IdUldf <br /> . <br /> (Full name) (Address) (T hone <br /> Location of Property: - <br /> (House Number and Name of Street) (Subdivision Name) <br /> Assessor's Map/Block Number: Map A9G Block <br /> Dimensions of Lot: Area <br /> (fie ) ( (sure-Feet) <br /> Zoning District in which premises are located: — <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: �/l 94�Q <br /> State proposed use of premises: <br /> Have you submitted plans for above to the Building Department? <br /> Hearing Date set for: ( D 0 <br /> iA <br /> p{cant's Signature) <br /> JjW <br />