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Jul A `town o Mash ee <br /> N • .. <br /> �. 16 great J1(eck lJ1�orth <br /> oad " <br /> ,EcATashpee,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: z� D <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: ;�WIOWICcs 5 <br /> (Full name) (Address) (Telephone#) <br /> Property Owner• , <br /> (Full name) (Address) (Telephone#) <br /> Location of Property: ��� ���/�'U U1' �-P aAll <br /> (House Number and Name of Street) (Subdivision Name) <br /> Assessor's Map/Block Number: Map #: Block#: <br /> Dimensions of Lot: 4;1e.;2I Area X7,5 Z,�iJ> <br /> (Frontage) (Depth) (Square Feet) <br /> Zoning District in which premises are located:_.1,-,4/P// .7``e//9Z <br /> How long have you owned premises? AUS 1y' la /-9TT.P�S�►�fd�it//r�'e /'/A��'��� <br /> What section(s) of the Zoning By-laws requires the permit you seek? <br /> State present use of premises: <br /> State proposed use of premises: .5%Wxf- j <br /> Have you submitted plans for above to the Building Department? V�-s <br /> Hearing Date set for: <br /> (App ican s Signature) <br /> a „-A Nl\ <br />