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f <br /> Town of Mashive <br /> 76 Great Xeck Pkoad.Xw-th <br /> washpee,1)t�assaclitisetts OZG J <br /> PETITION FOR A WRITTEN FINDING <br /> Per MGL Chapter 40A §6 and Town of Mashpce Zoning By-Laws of 1987 (§174-17) <br /> Date_ t <br /> Zoning District <br /> Print <br /> Property Address l <br /> Map Parcel.. P/ <br /> Is property within a Special Permit area veriay District) luster subdivision? &YES LINO <br /> If YES, name of area/district/cluster ,�s59 t <br /> Petitioncr G§rz 1�pepv Phone���� <br /> Email F F D r o o b CF GIJ&r-ast, 17 e-� - <br /> Owner's Name 8� " Phone <br /> Project is a: P eck MAddition ❑House []Pool ❑Cther <br /> The Subject: ❑Raze and Replace ❑Extension ❑Change of Use LN/Alteration Xot Coverage <br /> � x,a tJa. gip,tI,(' ,) 2 aSv� t itzcd� <<�z 3 � �yd r�6F4U1t&#)S If) SAS11 -Wr", ADO � B9Dk�� <br /> her ,CZ 3 trt►�-! v , a.�l WILLS�,✓A� 5X1st c, <br /> LOT � v8AAc� <br /> ❑Ot �rS i �adLlUi99`� <br /> t� bi5ok i4l A�� N �41J��-r, � -�'6 � 6pm t ov���tc <br /> Owner's Signature or letter <br /> Petitioner's Signature <br /> Mail certified copy of Decision to: �i7 �� 1C s �D• �P, � 6Z6 <br /> y■■ ■ a • r■ra a ■ ^ • a — a — a — a — ■ — a — a — a . a ^ a w a e ■ ^ a . ■ � a <br /> TOWN 10AE E TOWN CLERK <br /> y�Zol DATE STAMP <br /> Scheduled Date I JUL2 2 2016 <br /> RECEIVED EY--. <br /> Rev. 2126115 <br />