ALLAN INSURANCE AGENCY INC 192 Essex SL
Allan Insurance Agency, Inc.
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Permit Humber
PERMIT ttUST BE OBTAINED B'_PcRE UEGINNING WORK
APPLICATi C:J `1L'ST BE SUEM!TTED IN DUPLICATE �';lE S_- TO BE
PLANNING ,cPARTMEIIT, aHD ONE SET 'F p- ' I:ED 'KITH THE
DEPARTMENT; TO BE FILE: IJITH THE 301LDIIIC IS PEPPP O'l:.L -,T PLANNING
PLANNING
w"'c"��'- location, Ownership, and Detail
_
Mus[ e Correct
Complete
and Bible. Separate Applicat mn F"I ired for Every Sign.
Application for Permit to greet a
9
Salam, Massacnusc:[s �-t I l ), 19 � 7
TO THE i.:Ii LJ I:J'. IliS 2ECiJR.;
The undersi_aad :.ereby applies for a pernir :o X
e sign on trn ':Ilowin1 described building: Erect, Alter, Repair
Location and No. Y-1)— ,,- <, * ^Tr
SrCOnir;Ci;rrict
(Jame of Property Owner <�w �-�•_�,,� Cn (I �T'-
WlL L I Inn_ �y p '1 �`.RT;:�•f �)Ir 7 ✓''
(Jame of Sign
Owner S (y !ti!
Address
If Owner is a corporate body name of responsible officer
Name of Licensed Sign Erector
Address Salem
license no.
Use of Building: I
st Floor
2nd Floor 7S I p.LA 3rd fluor 71) I-�—
Floor�-77
Type of Sign: X Surface, _ Right Angles to Building.
Free Scandin^,
Other (specify)
Height.
Sign Materials o IJ
Sign Dimensions (0 � x \ LjI - .—
Sign Area S-
Eaiscina Signs: Surface:
;on Area
Riahc An ..; inn Area SF
F
Free-5[anaing SF
Other Sign urea _
Sion Area SF
Signs to ba Removea: Type .
Sian ;,ree
SF
Frontage: Building
FT Property PT
SicnaEure of Owner
SF nature of Dwnerz AuchorI Zed Reoresentati vu
Address (.,o-3
c5[ima[ed Cost
of
New ::oru
APPROVALS:
Signature of Property Owner
r
Sal4m '.4annlnc ;apartre v Duper,n[enuent or
. 'Lets IsiJrical -O::$1.s:<n
BUILDING ENTRANCE.ON REVERSE PLEASE SHOW SIGN SIZE, COLOR. LOCATION; LOCATION OF OTHER SIGNS AEJD
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E%PLANA(ION AMOUNT 2853
THE DRUMLIN GROUP, INC. `--
600 LORING AVENUE !
SALEM,MA 01970 5-133-110
508-741-3696
PAY l
AMOUNT
! OF MOUNT DOLLARS g HECK
TO THE ORDER OF DESCRIPTION CHECK !
DATE NUMHER
to 11r � f ok {ti l . � �1S JPx w.1r FrS3 $ 1
i I
11011
{
USTRUST 202 !
BOSTON.MA 02108
I 111100 28 5 311' i:0 i 100 II3 3 W: 000 0 l9 38 5 2"m