SIGN - METRO PCS r - � Permit Numbe
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APP: FORERMIT TO ERECT A SIGN
N
NOTE:81111 t H OJMAUZt&Lk%BTAINED BEFORE SIGN Is ERECTED
+ Location, Ownership and Detail Must Be Correct, Complete, and Legible
Salem, Massachusetts L4/V
�
/l To the Building Inspector: Date
The undersigned hereby applies for a permit to ❑Erect, ❑Alter, ❑Repair a sign on the following described buildings:
Street Address
Zoning District
❑Urban Renewal Area ❑Entrance Corridor
l / t ❑Historic District ❑None
..- 7h /�
� T of
!T!elephone / 1 s floor
_ � � f Lz
Sign • v c-4Z:5 G '5 2" floor
Address N04S�- 3 floor
Telephone 5,p8 t _t33 e5 4o floor
E-mail &6I How many businesses are in the building?
If a corporate body, name Frontage
of res onsible officer 11�4' e! ��h a
Sign Erector: Name U L Building �` -e F linear feet
Cons6uction Sup's License No Fiji Applicant's Space(if multi-tenant) linear feet
Address2 w- yy)�� 015=
;Z Property linear feet
Telephone }4!Z 9_�3- 5 Mail Sign Permit to V L� wh ❑Sign Owner ign Erector u Other:
Proposed
SIPPItjNor- Si n 2
urface orSurface ❑Surface
❑Right Angle to Building ❑Right Angle to Building ❑Right Angle to Building
❑Free Standing ❑ Free Standing ❑Free Standing
❑Awning ❑Awning ❑Awning
❑Portable(A-Frame) f ❑Portable(A-Frame) I ❑Portable(A-Frame)
�6ther(specify) G N d'Vl W P C�'t"(� p')ther(speci ) a C t't'�r1i ❑Other(specify)
�
Sign Materials Sign Materials Sign Materials
C .M I newt 040-1 L CI P
Sign Dimensions �3ii Xq�'f�r qn Dimensions �����X 1110 Sign Dimensions
Sign Area I � Sign Area Sign Area
sq ft 14 ( 6—�— sq ft sq ft
Sign eight(it free standing) Sign Height(if free standing) Sign Height(if free standing)
Estimated Cost of Net Work
$
Existing Signs Signatures
Type Sign Area To Be Removed? Sign Own
❑Surface sq ft ❑yes ❑no
❑Right Angle to Building sq ft ❑yes ❑no
❑Free Standing sq ft ❑yes ❑no Si P 7 w-er��odpresentative
❑Awning sq ft ❑yes ❑no
❑Other(specify) sq It ❑yes ❑no Property O er
Internal Review
Planning 8 Community Development Department Historical Commission
Approval
Building Inspe6tor