28 PRESCOTT ST - BUILDING INSPECTION (2) f�A��aMil�aEA� AAIIOYiD Alf ZiIE
��ill TO A'!�l�+Ki OIIANf�D
CITY OF SALEM
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TO TW INBPCTOR OF 81JIL XWL-
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Afd*more Name
Address a Phone ( 1
Mechanics Name
Address a Phan j 1
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CrrY OF SALEM
BVRZU4G DEPARTtaM
HOI&OWNEtt UCEINSE E)MOnON
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1CB LOCATION �--?rz - -r ST-
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The emnelt.oanaptleo of-eonNo. ipme w mlfatd,o+�lnat�.tt-•��r�.� o
Unlit a lea aad b Mow twit bo�feowncs a e�tjs am Indivtdbtl.la hbs wbo deer riot potaet•� .
lkcate..pvmw dw. fq await act as OWAVISM
DEnWrMCFHC&ffA"ftVft
Palm($)WM oww a POW of WW om wbkh bLkbt n"I"a buendt to ne N%
lntcdtd b be,t anc tD two Lordly dwcUbr<fosdiad a dWdled ttru�Ln ibaU aot be contldoad
m t1Tocwm A pctm wbo commv'tt more thm omc bums bt a twa'yW POW
t bom�eowaa. Sudt 9wmKow>�'sh1II t�to the BnOdba� ender bnlldbK pef�~ .
Bw7dbK Ot<+cid.dm brlthc be trspoavbk tD all sudt wale pcloam�d .
The wWcsiped'bom wwmf ttnmm urponsibMV for=My t =wi&*A Sete Daft Code d
other appSobk goes by-kwy roles and u=ukda L
The wwcnip w—hoawwae the c1W of Salem Bmi ft Dgwom t.
mimimmeo vapcW=pm=dwa and mgtnncmcmt wW that W"ww 0=44 wid►t4id ptooadtoa d
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HOMEOWNER'S SIGNATURE
APPROVAL OF BURDING YMCTCR
See other ode for sort Code
HOMEOWNER'S EXEMPTION
The cods stmas that: 'wV bomreowm perforrtdrg riwk for wbih o boDding pamk b tegobed"tie
cw:mrpt from the pwdsiont ortbb section okol ru 30paa-3Jotosiog of Comtmdom sera View
Pro•ided tbst b s bomeowna eatp�es p person W fa hies to do.such waslS that aire5 bomeowaa sboB isat •
ma q borncowm=wbo we Oth caemptiom we iaswat t m they we a the vevomsiblildes ate
ropavism(ow Appendls Qt Rules and Re=ubtiom for I=mslo=Ceostro files Egervisom secdn
3.30} Ibis bdt cf awarders mN m wsWu in senors p obi ms.pmdeaL Wb=dm booeow2=00
ungeemed persomt In this case your Board eatawt paooeed sbaiast to miHamed palm w it wools via
Named Supavbw. The bomeoawcr acting as supervbK b oblfmate�eestosuNiO. .
To enure dst ibt borosvwrsr!a llzily aware of blAia•tesponsibl8tier.rootpao��da Mite:as pas{ .
s tirat ft bomeowra tin b&Ww mrdasomdr binds rfa
of the permii ppihatior� ecrdlyr tspama
mWvbm You mq cote to amend wd adopt snob a brm/ardfiotiem Ilex mall to your commmdW
ruNuc rworERiT DEPARTMENT
1 a0 VWSHINWOM out" aR0 FLOOR '
SMAN6 MA 01 oso
TaL.(078)74945M OIT.ip
FAR (WM 740.00"
DUWOSAL OF MM A"MAM
In moo &MG w a be povimi=dldm o IQ SK I admowto*bat as a aoodi"
of Bad Faimk/ .aII debit to uft am ba emmtlliodoa ao ft
Ya"m>d by bb Ha Uft Pa®it Ad be ftoo d din a popabr Hammed nH"nb
diapod SdHey.r datioed by ItiQ.a TQ Sl?OA.
1bt dtbdt wrin be dimpaed dat; �1��1a��`(' •
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Mw above atadtta mgoins bat dd m Am be dmolibM taooidumq rd ab or olbt
altaadm of bml ft or mancaae be dimpoeed in a popaiy-Hceomed solid-wub d qMW
5ciitty r denied by MIOL M SI50A,ad ba blaUft ponft or HcmE ate to
iadi m dte bead=of ew hay.
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AREA= 1,275+/- SF
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PRESCOTT STREET
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SCALE: 1"= 10'
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ASSESSORS:
Map 25 Lot 522 OF
REFERENCES: ���1N PLOT PLAN OF LAND
Deed Book 15438 Page 29 RICHARD in
ZONING: f J.
R-2 S BARTRAM V SALEM, MA
j Ha 37728 prepared for
fCl$jERE° REBECCA ZIMMERMAN
tilt 9' and JEANNINE HEANDIGES
Scale 1" = 10'
BARTRAM LAND SURVEY
18 Union St. Beverly MA 01915