DAN GAUTHIER DETAILING 61 Jefferson Avenue
Dan Gauthier Detailing
=_Amit Number
PERMIT MI-tST EE OBTAINED BEFORE oEGINNIMG WORK
APPLICATION MUST EE SUB'+ITTED IN DUPLICATE, CNE SET TO EE FILED WITH THE
PLANNING DEPARTMENT, =-IND C„c SET (BEARING THE ',PPROV'=,L C= TnE PL,,V;AJ _
DEPARTMENT) TO BE FILE- 11TH THE BUILDING INSPECTOR.
Local r. , C.jnership , aid Detail
Must c Correct , Complete
and Legible . Separate Application °. _cited for Every Sign.
C A ,T�R�
Application for Permit to Erect a Sign
1
Salem, Massachusetts ��, .` (, 19 Lc
TO THE 6L11LDING I ;iSPECTGR: /
The undersicne:; ==_reby applies for a permit to Erect , _ Alter , Repair
a sign on tie following described building:
Location and Plo._e /✓ Woning/District
Name of Property Owner /('/ i-' Y ' LS \/s <%
Name of Sign Owne r ) ,¢N1�.( nt £�� 1 S
Address 7E_19;1Zrg,y Avg
If Owner is a corporate body name of responsible officer
Name of Licensed Sign Erector
Salem
Address License No. .
Use of Building: lst Floor{,- -,i9S�is 3rd Floor
2nd Floor 4th Floor
Type of Sign: _ Surface, Right Angles to Building, Free Standing,
Other (specify) / Height:
Sign Materials '57)M �/1 LyTyyFr_�
Sign Dimensions `;j E iyOTE_S” N ISign Area SF
Existing Signs: Surface: ✓,0 '— Sign Area SF
Right Angles : Npniz. Sign Area SF
Free-Standing /Ve f ' Sign Area SF
Other Sign Area SF
Signs to be Removed: Type ,Q'm; r- Sign Area SF
Frontage: Building ' FT roperty FT
Signature of— —
Signature of,'Owners Authorized Representative
Address / Js fas'yYn✓ sl'
Estimated Cost
of New Work Soo Telephone 7V5-- 17
APPROVALS: Signature of Property Owner vti
1
Salem P a n'ng Department Super i ntenent o St•.:ets Historical LOMMISSion
ON REVERSE PLEASE SHOW SIGN SIZE, COLOR, LOCATION; LOCATION OF OTHER SIGNS AND
BUILDING ENTRANCE.
"Y M
Ml
5 � gyt{y`�ab
VE
sr'„F,fir s'i.s�'`
i Y may}
.�Aij4F1" }
•`� �` i .g 2.�.'„`t`S � � ate W ,al � � 4�i
,fie
v t 2 - } S `•q 33!! d�xl F
Al A2
61
�;-ce,e.
pick up
/Z;o, -T)c. i
{
�— NO.006
53-7228/2113
1s
TO
T
�S
r TO TH E ----�--.—.
ORDER OF +4 lt1 $; _'Ln fJ0 7
(NGr� !QP DOLLARS
Heritage Co-operative Bank
FOR
1: 2113722841: 9000 450 8u'