BELL ATLANTIC rl
17 Canal Street
Bell Atlantic
r
Permit Number
PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
APPLICATION MUST BE SUBMITTED IN DUPLICATE, ONE SET TO BE FILED WITH THE PLANNING
DEPARTMENT, AND ONE SET (BEARING THE APPROVAL OF THE PLANNING DEPARTMENT) TO BE
FILED WITH THE BUILDING INSPECTOR.
t'`OND1 Location, Ownership and Dglafl Must be Correct, Complete and Legible. Separate
Application Required for Every Sign.
Application for Permit to Erect a Sign
9T �
ls��U4NL
Salem, Massachusetts_ 19
TO THE BUILDING INSPECTOR:
The undersigned hereby applies for a permit toZ Erect, _Alter, _Repair
a sign on the following described building:
I Q
Location and No. I PJAL S-I • Zoning/District �C C
Name of Property Owner J/, (MIC �k(-1–0
Name of Sign Ownerf:�—A'J'L_
x° Address GA Nja L S�I
If Owner is a corporate body, name of responsible officer
Name of Licensed Sign Erector
Address Salem License No.
Use of Building: Ist Floor 3rd Floor
2nd Floor 4th-Floor
i
Type of Sign: _Surface, Right Angles to,,Building, _Free Standing
Other (specify) i v Height: ID
Sign Materials _SON
' 3Z/ `
Sign Dimensions �o Z7i t 9_ x ZZ Sign Area (/,7 SF
Existing Signs: Surface: Sign Area SF
Right Angles: Sign Area SF
Free Standing: Sign Area SF
Other: Sign Area SF
Signs to be Removed: Type Sign Area SF
Frontage: Building FT Property FT
Signature of Owner
Signatu fjOwner's A orizedopresentative
Address
Estimated Cost oo Telephone pt'�U �3 �� �IYC,�1L 'Jluz(..` AX}t
fN
o ew Work $
Signature of Property Owner
APPROVALS:
Salem PI ening Department Superintendent of Streets Historical Commission
ON REVERSE SIDE PLEASE SHOW SIGN SIZE, COLOR, LOCATION; LOCATION OF OTHER SIGNS AND BUILDING
ENTRANCE.
No.................................
PLAN OF LOT 9
I APPLICATION FOR PERMIT FOR Show Location of Present Structure J( caPPfUJ( SHOW SIGN S COLOR AND LOCATION ON BUILDING;
(t ALTERATIONS, REPAIRS AND and Signs 6'r�`rYo T �y P LOCAT I O OTHER SIGNS AND BUILDING ENTRANCE
I DEMOLITIONS'
ISe to ed an.
--::................................................CLASS BUILDING' L_L ,
1
LOCATION �Otl3� LL'
d
No...................................................... ........ ...
1 ......................................._
........Ward......................
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0.Owner....................................... ..... ..:C O EfJ —
A Coat............................................ ............. 3 i
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iCONDI'TIO S f /
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N S( 6 �S ✓lS by i .. . . .. ...
...................................................................................... �O CO�� - - - - - - -
IN (2-� � U :� - - - - -- - - - -
Permit Granted tl�{C(II
..................... 19..........
' 8
....................................................................................
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1023
FREEDOM COMMUNICATIONS INC.
5-39/110
DATE
t
PAYil' I
�iTHE C C
ORDER OF - -"
DOLLARS B m
� BankBoston.NA.
FOR
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