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Town qj'Nashpee <br /> 16 Great Jlri ck Brad IV6rih <br /> k�?nuixta tklashpee .Wassochusett 0,k)r 9 <br /> PETITION FOR SPECIAL PERMIT <br /> Per MGL Chapter 40A §9 and Town of Mashpee Zoning By Laws of 1987 <br /> Date Zoning District <br /> Print <br /> Property Address <br /> l� y <br /> Map OOOqQ Parcel QOWY4 <br /> Petitioner � � Phone <br /> Email...._ j0- (! "m 09-P, LIA 06, b <br /> Is this property within the Precontact or the Postcontact Archaeological Sensitivity areas ❑YES C/NO <br /> Applying fir (Check appropriate box(s)): <br /> 9 Accessary Apartment ❑Commercial []Sign []Bed and Breakfast ❑Private Non Profit <br /> ❑Hospital/Nursing Home ❑Outdoor Recreation ❑ Indoor Recreation ❑®ocks <br /> ❑Lumberyard s/Landscaping ❑ Automotive Repair ❑Drive In []Wireless Services <br /> []Medical Uses ❑Kennel ❑Retail Sales F1Eating Establishment ❑Other <br /> BRIEF DESCRIPTION bu )60 ��;a(��V��',�� G ��C' ��1~��.�� ,�t:� ����. <br /> Owner's Signature or letter <br /> Petitioner's Signature <br /> Mail certified copy of Decision to: <br /> . . . . . . . . . . . . . . . . ® . . . . . . . . <br /> Scheduled Date /411,.,, j. ., 'a n J .:> MASH P.� AW'j#A 11, <br /> JUN 2 1 201 <br /> Rev. 3106115 <br /> REC "°IVE" <br />