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Town of Mashpee <br /> N <br /> 16 Great JVeck load Jlrorth <br /> °'E�'" Mashpee,Massachusetts 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: <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: <br /> (Full name Address <br /> (F ) ( ) Tele hone# <br /> P ) <br /> Property Owner: 9216 j <br /> (Full name / <br /> (F ) (Address) (Telephone#) <br /> Location of Property: _Z& <br /> (House Number and Name of Street) (Subdivision Name) <br /> Assessor's Map/Block Number: Map#:5_ Block#: 6— <br /> Dimensions <br /> Dimensions ofLot: 00 Area <br /> (Frontage) (Depth) (Square Feet) <br /> Zoning District in which premises are located: Afyl/Izec l l <br /> How long have you owned premises? ave VM4 <br /> What section(s) of the Zoning By-laws requires the permit you seek? <br /> State present use of premises: �PiYJI77�C�C/i�/.E't'r�ss u41 l?/�it/G_ <br /> I <br /> State proposed use of premises: C ho / J <br /> Have you submitted plans for above to the Building Department? <br /> Hearing Date set for: <br /> A/7 _��Jnr oo <br /> (Applicant's Signature) <br />