DANCE CREATIONS FF14ighland Avenue
Dance Creations
ocRMI T
: LED '., ITH THE
! C .T =`l r'JSTL ;E PLANNINGLANNING DEPARTMENT '.' 'C _- �AR1'1G ..
E?4RTISEMT) T 5E FI L_ r r= -J I LD I:, , i ';S?-= . _
rcct ucolete
Local
` iy , _irza qr Every Sign: i
and
=.f4 „ Application for Permit to Erect a Sign
Salem, :lassac:husetts
TO THE E'. IL IJI J ::SPECTOR:
-.,e undersicnze: i-.2reby applies '3,^ permit -o
Erect , Alter , Repair
a sign on t'.e rollowinc descri `_=_dLuiidinG : Cf Co
_ocation and Ilo. Q(—A �a-1n\ CX1nI nlj oningiDi, trict U
':.Imzof Property Owner
::ame of Sign Ownerl�� �
-.ddrzss
If C.gner is a corporate body na^.z of responsible officer
dame of Licensed Sign Erector Salem
C� P'9 License No.
7's-t� nor d/Floor
Use of [3uiiding: 3rd
Floor
2nd .Floor
Right Angles to 3uilding , Free Standinc ,
Type of Sign: Surface , 9 5
i Other (specify) Height :
���i Qi\J ✓"!a '� _. ®.>:�. 7Q.ti�=" fir.' � _ .
f��\Sign Materials r ���
Use of Buiidinq: IsC FI orV J
2nd Floor r
4th Floor
Type of Sign: Surface , Right Angles to 3uildin
9. Free Standing,
Other (specify)
Height :
Sign Materials
L1,�1 Sign Dimensions ,
Sign Area '
Existing
Existing Sins : Surface: ign Area
S
�SCGi S �� Right Angfcs : Sign Area SF
Free-Standing SF
Other Sign Area
Sign Area
,. _. SSF
Signs to be Removed: Type
Sign Area SF
Frontage: Building
FT Property ,i t1. r w-
oper[y : W .a SFT
K
Signature of Owner �-
Signature of Owners Authorized Representative
Estimated Cost Address WWL21
of New Work
���_ Telephone ��_
APPROVAS:
Signature of Property Owner
Salem P arming Ocpartment —Super inten ent o t gets �sto n ca ommtssion
ON REVERSE PLEASE SHOW SIGN SIZE, COLOR
BUILDING ENTRANCE. , LOCATION; LOCATION OF OTHER SIGNS AND
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CREATIONS
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