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i <br /> 1f9lar.r llr,P r�rrr�tl,,l�rf1'(�F <br /> (hlcail4/rO,' 604,01rrr�rl�+xrErtltrj iJ <br /> i <br /> t yV y <br /> ON Aliw �S r � <br /> OR �.�m , � " , <br /> t'c i, M 1,(haj)(or 40A tiO at)ci`rown of ma,,Jlpoo�Zoning fly I,laws;of 3 98/ <br /> t"a(c .dZoningJAstrict <br /> l"'r"rrr� <br /> I's°criersI.y /lciciie, s ,05S T- <br /> 1V a ti. * <br /> .,. ..ri_.._..._ -.,.. 0. M,, �� � pkrone <br /> -fitioner <br /> 5- `1" <br /> Owner's Marn a 1 ����L j_ � _..__ - Phone <br /> Is this property Within tile:Fire-contact or the Post-contact archaeological Sensitivity areas ❑1fES FI NO <br /> ApI)tvin for(Cheek rtpIvolviee Uox(s)):' <br /> E,J Accessory Apartment OCommercial E]Sign 0Bed and Breakfast OPrivate NonProfit <br /> 1-"')Hospital/Nursing Home Il4utdoor Recreation Cl Indoor Recreation ClDocks <br /> I]Lumberyard s/Landsca ping 0 Automotive Repair ❑Drive In DWireless Services <br /> DMedical Uses DKennel EII etail Sales F]Eating Establishment 00ther <br /> c � ... . <br /> Lc <br /> Owner's Signature or letter <br /> At�iUI��EI- "l°� Il CLERK <br /> Petitioner's Signature -.. <br /> Mail certified copy of Deci ion. to <br /> w RECEIVED i . <br /> r a a a u .a ramm a arw a s a.. a rr r- a M urm r m a am�r. a ema� a mr a aaro r a n aa�:.-a a <br /> MASHP E TOWN CLERK <br /> TOWN CLFRK <br /> Scheduled Date <br /> RECEIVED BY <br /> Rev, 51025116 <br />