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sP v r-�i - <br /> ,�m Tow' n' of Mashpee <br /> y' 16 Great Xeck Pvgad JYorth !I ! <br /> w� Mashpee,Massachusetts 02649 <br /> MASHPEE ZONING BOARD OF APPEALS li <br /> I ; <br /> APPLICATION FOR A SPECIAL PERMIT <br /> As required by pertinent sections of the Zoning By-law of 1987 <br /> 'I <br /> To Mashpee Zoning Board of Appeals Date: <br /> it <br /> The undersigned applies for a Special Permit from the Mashpee Zoning Board of j <br /> Appeals, as required by pertinent sections of the Zoning By-law of 1987: <br /> AU� ' <br /> �D� I IJ I G ,8 �' 7 I V 6i, S 3 Ll g `f6 � <br /> Applicant: �, i N �/. /a-S 3 7 r <br /> (Fuld name) (Address) (Telephone#) <br /> DoM ►NiC, Q TI�3 �►o f <br /> Property Owner:FUV t C E T I A r,,---R 1 d <br /> (Full name) (Address) (Telephone#) <br /> Location of Property: J OC C n y AY R 17 • I III' <br /> (House Number and Name of Street) (Subdivision Name) ! j <br /> Assessor's Map/Block Number: Map#: _ Block#: 7s ff <br /> JI � ; <br /> Dimensions of Lot: r�D '���i� Area <br /> (Frontage) (Depth) (Square Feet) <br /> I ', <br /> Zoning District in which premises are located: <br /> How long have you owned premises? '1�- <br /> What section(s) of the Zoning By-laws requires the permit you seek? 44-25--1•-7 <br /> ' <br /> f <br /> State present use of premises: <br /> State proposed use of premises: it <br /> Have you submitted plans for above to the Building Department? <br /> Hearing Date set for: <br /> I i <br /> 10 <br /> G { <br /> Applicant's Signature) j <br /> aS�� tl11�d r^ iaV:P�� <br />