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�' �";t� Towhof Mash ee <br /> p <br /> �q 16 Great Jlreck Pgad Jlrorth <br /> Mashpee,ATassachusetts 02649 <br /> MASHPEE ZONING BOARD OF APPEALS <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: --Od <br /> i <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 /> i <br /> i <br /> Applicant: <br /> (Full name) (Address) (Telephone#) <br /> Property Owner:�,¢L f'L/ .�1�f'/l /'G�G'e�{7O+✓ rg /3��j��D <br /> (Full name) (Address) (Telephone#) <br /> Location of Property: <br /> (House Number and Name of Street) (Subdivision Name) <br /> Assessor's Map/Block Number: Map#: Block#: <br /> Dimensions of Lot: Area <br /> (Frontage) (Depth) (Square Feet) I! <br /> I , <br /> Zoning District in which premises are located: R- 3 <br /> How long have you owned premises? ! <br /> What section(s) of the Zoning By-laws requires the permit you seek? 7 <br /> SEX S 0*,e5.� /e// 1;4x niJC-ziA*/0q,6. <br /> State present use of premises: <br /> State proposed use of premises: � 'BTt-��`� <br /> Have you submitted plans for above to the Building Department? <br /> LLJ CIO <br /> oma, ,Heafing Date set for: CJ <br /> LLI <br /> o.. <br /> (Ap ica is gnature) <br /> CD <br /> cs <br /> �.- o <br />