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o I ' -2 C)� _ Gd� �l '( <br /> , <br /> ��� !6 C:reczt.Nc;r�F,•;�;<nrzrC ��`rxx•t{m. <br /> hJushpcc.Mossaclutsetts 0,2640 <br /> PETITION FOR SPECIAL PERMIT <br /> Per MCL Chapter 40A §9 and Town of Mashpce Zoning By Laws of 1987 <br /> Date <br /> Zoning District T <br /> �� � �.. <br /> pfint <br /> Property Address <br /> �t <br /> Map Parcel <br /> Petitioner ';m Phone 21 .mm r <br /> m y <br /> rnall t s <br /> w � , J' '' <br /> m <br /> Owner's blame ` w Phone .Dbk ° ,." ,„ m , <br /> Is this property within the Pre-contact or the Post-contact Archaeological Sensitivity areas ❑YES ❑NO <br /> App ink;far (Check appropi-late bux(s)); <br /> °"Accessory Apartment ❑Commercial ❑Sign ❑Bed and Breakfast ❑Private Non Profit <br /> ❑Hospital/Nursing Home ❑Outdoor Recreation ❑ Indoor Recreation ❑Docks <br /> ❑a Lumberyards/Landscaping ❑ Automotive Repair ❑Drive In ❑Wireless Services <br /> ❑Medical Uses ❑Kennel ❑Retail Sales ❑Eating Establishment ❑Other <br /> BRIEF DESCRIPTION <br /> Owner's Signature or letter <br /> - ' <br /> S ��.✓," a." 4„ ,� ..µµa ..».,„, <br /> Petitioner s Signature 's <br /> Mail certified copy of Decision to: . <br /> TOWN CLERIC <br /> Scheduled Date gym" : <1 UVA3WMTG#VN CLERK <br /> Rein. 51025116 SIP — 8 2016 <br /> RECEIVED BY. . <br />