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DERBY STUDIOS PHOTOGRAPHY INC 222-224 Derby St. Derby Studios Photography Inc. Stj 1 rCl /49 V) m Fi M r PERIT RUST c O:TAIIJED EE FO3 cEGi1..: I ..G l'ORY. ..". RE ,%C VES APPLICATION MUST BE SUBMITTED IN DUPLICATE , ON SET TO B FILED WITH THE PLANNING DEPARTMENT, AND ONE SET (BEARIfIG THE APPROVAL OF 7H% P:C��N\11 G DEPARTMENT) TO BE FILED WITH T;E BUILDING INSPECTOR. 0 roe _ 91 I i LI Location, Ownership, and Detail Host be Correct , Complete ion and Legible. Separate .Applicat Required for Every Sign. Application .or Permit to Erect a Sign ,Y Salem, 'Massachusetts /Z 19 TO THE BUILDINC II;SPECTOR: The undersigned ,hereby applies for a permit to (J Erect, _ Alter, _ Repair a sign on tie following described building: Location and No. ST Zoning/District eZ Name of Property Owner -D( 1q)4L1 0710 /4)�(d Name of Sign Owner rIiI')IC P 14C)T-L L12 P4 P Address 17 l if Owner is a corporate body name of responsible officer Iti�E L SKF_k'PU Name of Licensed Sign ,Erector _ Salem Address 12 ' ' fIlFJ /YIiY License 3 Use of Building: lst Floor L rd_Floor4rh Floor 2nd Floory Type of Sign: Surface, _ Right Angles to 'cuildind, Free Standing, Other (specify) Height: i7�1}r ('AkG'F h <,c"^G 7 !FAfEJ _ rrwi�s Sion materials. �i '1aCK Y Sien Diinensioo-s ul / IC �/ < ' Sign Area 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 nr, Sign Area SF / FT Property FT Frontage: Building =n t y > e� Name and Address of Signature of Owner44V1C . ;' „ ' Insurance Company: Y � c Signature of Owners Authorized Representative �>aD7VG/t� M�l Address -2 2- A04 / XG ?l3 Estimated Cost of New Work f Telephone ,APPROVALS, Signature of Property Owner = - ^oI t eoen artment Super of St nets Historica or, nission PLAN Or—LOT c 'PLICATION FOR PERMIT FOR Slrow Location 'of Prescnt Slructuro 51101.1 S I GPI SIZE , COLOR A11D LOCATION ON BUILD ' "' ; 'ALTERATIONS, REPAIRS AND and Signs LOCATI Old OF OTHER S 11115 A11D OU I LD I tIG E11TRANCE DEMOLITIONS .CLASS 11UILDING LOCATION ..................................:.... ; _ .............Ward..................... tj ......................................................................... .. ................................................. CONDITIONS `' "' " 1 -1 ......................................................................... ; .......................................................................... - ........................................................................... S ' ............................................ ..........•................................. . . . . . ....................................................................... - - -• - - - - - - - - - .. - . . . . - . - {' Pcrnrit Grantcd it .......... 19.......... ....................................... .................................. L , v i J oI 46 T © � N f I ' REMITTANCE ADVICE DERBY 7PHOTOGRAPHYTOGRAPHY INC. DATE INVOICE NO. AMOUNT RRY REET 512 1970 53-179 PAY . ._. -_ _ _ __� 113 DOLLARS HR$. ATEORWK'D PERIOD ENDING OF CHECK GROSS FICA FWi NUMBER EARNINGS NET AMOUNT �]l '� A1] EASTERN BANK 16 270 UNION ST.-LYNN,MASS.01901-1360 11'00051211' 1:01L30179131: 09 1593 511'