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4 f'fiti 1[•F� �- � _ <br /> 1.81 <br /> NL <br /> "1a:irtpc,c,tiltiasc?cFtit�•rt!� 17��{i.{c} <br /> PETITION FOR A WRITTEN FINDING <br /> Per MGL Chapter 40A 56 and Town of lvlaslipee Zoning By Laws of 1987 (§174-17) <br /> Date CD f <br /> Zoning District '3 <br /> print � a n 44—e-l--t <br /> Property Address <br /> Map Parcel <br /> Is property within a Special Permit area/Overlay District/Cluster subdivision? /1yr:S _NO <br /> If YES, name of area/districticluster ro {� © /) f S d V ERLL-0- f�rS`► 2 r�T <br /> Petitioner i/L 2,qG /I���sl�C�l� M) Phone `1 <br /> Email o4)k- <br /> __---. <br /> Owner's Namehone r '` <br /> Project is a: L Deck 'F Addition ;House <r'Pool E].Other <br /> The Subject: VRaze and Replace []Extension Change of Use !"Alt g eration uLot Coverage <br /> Other <br /> Owner's Signature or le ` <br /> Petitioner's Signature <br /> Mail certified copy of Decision to: <br /> A Lr <br /> vam♦A a m R CY v bLwi O A Y v v� @ � h � v ® v fie] v IIav 4 � A 1D� v R� a Cvv h ® v ® v P.R II 66v h � v +�^ D <br /> Scheduled Date 4-f;k1RA/M CLERK <br /> JUN w q 7016 <br /> Reis. 2126115 <br />