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0024 NEW DERBY STREET - SIGN PERMIT ,.0024 NEW DERBY STREET S400-2004 COMMONWEALTH OF MASSACHUSETTS CITY OF SALEM GIS#: ,. 462 Map: 34 LotC 0424 SIGN PERMIT Lot: ' .,.�>n.: . Permit: Sign Category: SIGN Permit# S400-2004 PERMISSION IS HEREBY GRANTED TO: Project# JS-2004-0553 Est.Cost: $0.00 Contractor: License: Fee: Concept Signs #of Fixtures: Owner: SALEM CITY OF Applicant: City of Salem AT: 0024 NEW DERBY STREET ISSUED ON: 24-Oct-2003 AMENDED ON: EXPIRES ON: 23-Apr-2004 TO PERFORM THE FOLLOWING WORK: S400-2004 SIGN PERMIT: ONE 33" x 42" MDO PLYWD HANGING SIGN W/METAL BRACKET ON BLACK POST FOR LOBSTER SHANTY @ 25 FRONT ST. EST COST$1150. DEP BY PLANN. DEPT. TJS THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: GeoTMS©2003 Des Lauriers Municipal Solutions,Inc. -- - - Permit Number CY0— PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK 2 c-y-' 3 0'42x4 --i 01 APPLICATION MUST BE SUBMITTED IN DUPLICATE,ONE SETTO BE FILED WITH THE PLANNING DEPARTMENT,AND ONE SET(BEARING THE APPROVAL OF THE PLANNING DEPARTMENT)TO BE FILED WITH THE BUILDING INSPECTOR. 2x4 NEW DLRbL� 5T- Location,Ownership and.D11-&Must be Correct,Complete and Legible. Separate Application Required for Every Sign. � 9 Application for Permit to Erect a Sign Salem,Massachusetts —/6 -oj 19_ TO THE BUILDING INSPECTOR: The undersigned hereby-applies for a permit to x Erect,_Alter,_Repair a sign on the following described building: i Location and No.35 F(2z N , 5—, Zoning/District Name of Property Owner_ C,-r-f n P s 4t,'G e-1 NameofSignOwner Address b _S v 'k o" Rv�. S a-(,E T'l fa-c� jG7o If Owner is a corporate body,name of responsible officer Name of Licensed Sign Erector C0rk.r�7 i(rNS Address �Ii V\)Ap-n S1 Salem License No. 7-000--'Loc ' _ Use of Building: Ist Floor )� uJ �t- 3rd Floor_____ 2nd Floor 4th Floor Type of Sign: —Surface, _Right Angles to Building Free Standing _Other(specify) Height: 13 r( Sign Materials VV Po t",\I'Wc, O Sign Dimensions 3 3 x ! 'Z( Sign Area . 6' SF Existing Signs: Surface: Sign Area SF Right Angles: Sign Area SF Free Standing: Sign Area SF Other: Sign Area Q SF Signs to be Removed: Type 'FL-YWDoO Sign Area / 6 SF Frontage: Building_ So FT Property ( O SQ FT Signature of Owner — Signature of Owner's Autho zed Representative Address 2 S F<2O(J S7 S aar_92-Yl C<6 D(� ° Estimated Cost dTelephone of New Work$ i SO + 30 Signature of Property Owner l,l ,sem APPROVAL Sale anning Department Superintendent of Streets Historical Commission ON REVERSE SIDE PLEASE SHOW SIGN SIZE,COLOR,LOCATION;LOCATION OF OTHER SIGNS AND BUILDING FNTRANr'F