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TOWN OF MASHPEE -�VU L <br /> LS uc�r 2 � 199933 <br /> r> BOARD OF APPEALS U 05 <br /> ''�� <br /> Application for a Special Permit RVu'"f <br /> (As required by pertinent sections of the ZONING BY-LAW Of 1987) <br /> Date ..................19... <br /> To the Board of Appeals <br /> Mashpee, Mass. <br /> The undersigned, hereby applies for a Special Permit from the BOARD OF <br /> APPEALS; as required by pertinent provisions of the Zoning By-Law of 1987: <br /> 1. Applicant -[Tom�Sw:Bac�uKs J2 1S gTtti0LCrts j wlt�s>aS E c�16y� <br /> .... <br /> (Full .....:name) (complete address including zip code) <br /> 2. Owner Sn"^e <br /> 3. Occupant (if other than owner).... <br /> BLOG�< 2 L <br /> 4. Location of Property .MAP.f... LOT �..........................'� srx> sr= . IS STS QHS LaNe <br /> -• .............. <br /> 5. Dimensions of Plotl5U_af........ 42 - t......... <br /> 1_-w O6'+..SF,..... <br /> (Frontage ) (Depth) (No. of Square feet) <br /> _6.. Zoning District in which property is located ........... ....... <br /> 7. How long have you owned this property? <br /> 8. Whatsection, OR sections, of the Zoni3,By-lawrequires thepermit you <br /> seek? <br /> ....... <br /> 9. State present use of premises <br /> 10. State proposed use of premises ............................................. <br /> 11. Any further remarks in explanation of this application ................... <br /> ............................................................................... <br /> Applicationreceived by ....................................................... <br /> Hearing date set for ..................19.... <br /> /�i/i/ �. <br /> ............................... <br /> Signature of Applicant <br /> 5y 8-(o3}S <br /> ............................. <br /> Telephone <br />