CHICKEN COOP 48 Congress Street
Chicken Coop.
1
--- - 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.
`O m Location, Ownership and.Detail Must be Correct, Complete and Legible. Separate
Application Required for Every Sign.
a,
Application for Permit to Erecta Sign
Salem, Massachusetts ro 1 79_
TO THE BUILDING INSPECTOR:
The undersigned hereby-applies for a permit to_Erect,_Alter, _Repair
a sign on the following described building:
! Location and No. (1 `—� ��(Zr � �n Zoning/District
Name of Property Owner
Name of Sign Owner Owner
/
Address `� O C,1
If Owner is a corporate body, name of responsible officer' /[/O
Name of Licensed Sign Erector
Address (0q Wm-j�> S Salem License No. �3 '
Use of Building: Ist Floor cf:e~ -fc:4 3rd Floor /?G C. t:W L
2nd Floor L 4th Floor
Type of Sign: �urface, _ Right Angles to Building, _Free Standing
_Other (specify) Height:
Sign MaterialsQ-Nn�IC� �LaTI� L
Sign Dimensions `g X-� � lZ (3 Sign Area y3 zO—IAL SF
Existing Signs: Surface: Sign Area SF
Right Angles: Sign Area SF
Free Standing: Si SF
Other: Sign Area SF
Signs to be Removed: Type � Sign Area —� SF
/Frontage: Building /D y FT I/Property � `/f�S' !Z.FT
Signature of Owner
Signature of Owner's Autho ' d Re sentative
g =7 ��5.—
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Address ,P— C
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Estimated Cost Telephone 272- 2YJ S Z
— 85
of New Work $ 7c
Signature of Property Owner
APP VALS:
9� REVERSE
laning epartment Superintendent of Streets Historical Commission
SIDE PLEASE SHOW SIGN SIZE, COLOR, LOCATION; LOCATION OF OTHER SIGNS AND BUILDING
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EAST ERN BANK'�
CONCEPT SIGNS .SALEM, MA 01970 11 O 7
A FULL SERVICE SIGN AND GRAPHICS COMPANY 24 HOUR SERVICE 1-800-EASTERN j
64 WARD STREET "- I ,
SALEM;MA 01970 '6 53=179/113 fI
(978)745 5800 FAX(978)745.7545Im
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