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Town of lVaslipee <br /> 16 Gnat at--A-crk Koacd<Verth <br /> ?rlastiprr,Massachus-ev&02041) <br /> PETITION FOR A WRITTEN FINDING <br /> Per MGL Chapter 40A §6 and Tow of Mashpee Zoning By Laws of 1987 (§174-17) <br /> Dated <br /> Zoning District3 <br /> Print Z� ,SA,,,� <br /> Property Address <br /> Map 10,5— Parcel $ <br /> Is property within a Special Permit area/Overlay District/Cluster subdivision? ❑YES XNO <br /> If YES, name of area/district/cluster <br /> Petitioner t,w 4, Phone 0 — 3 7— 46 <br /> Email_ of Cla.4 b aV z a j L • Co i"'� <br /> Owner's Name A L yo + BSI .. Phone <br /> /o x r v s o-zeeeu e,--i 2ov <br /> Project is a: ❑Deck ❑Addition ❑House ❑PooiOther rtl e ►n� <br /> The Subject: ❑Raze and Replace ❑Extension ❑Change of Use l&Iteration ❑Lot Coverage <br /> ❑Other <br /> Owner's Signature or letter <br /> Petitioner's Signature <br /> Mail certified copy of Decision to: �� U <br /> ® • . . ® . . N . i . i . Y ® ■ . • . . Imtl'A R . Y . ■ ® • . { . • ® Y . • i ■ ® • . R <br /> TOWN CLERK <br /> Scheduled Date ICJ rl!' �,. i rF <br /> Rev. 2126115 V-1E GE I V ED BY--- <br /> � . <br />