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`town of Mashpee <br /> 16 Great JVeckpad JYo <br /> Mashpee, Massachusetts 02649 j <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: ahs AHOI danil F;/f-r-c Pohl AV S39-04-1 <br /> r <br /> (Full name) (Address) (Telephone#) <br /> Property Owner: <br /> (Full name) (Address) (Telephone#) <br /> Location of Property: /70 l A"//'c o P yi Jot. <br /> (House Number and Name of Street) (Subdivision Name) <br /> Assessor's Map/Block Number: Map #: Block#: —3 <br /> Dimensions of Lot: Area —7 6' C6'D <br /> (Frontage) (Depth) (Square Feet) I <br /> Zoning District in which premises are located: <br /> How long have you owned premises? s. <br /> What section(s) of the Zoning By-laws requires the permit you seek? <br /> I � <br /> State present use of premises: o m e oil Z a Ae h/R.�e,6 v <br /> State proposed use of premises: <br /> i ori n a' oc <br /> � I <br /> Have you submitted plans for above to the Building Department? <br /> 'I <br /> Hearing Date set for: /yoy: � <br /> (Applicant's Signature) <br /> va <br /> �C�V, ��Q <br />