MIDLRED'S TRANSPORTATION 33 Bridge St.
Mildred's Transportation
L �
to
4
s.
,III �
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.
�pND7 � Location, Ownership and Detail Must be Correct, Complete and Legible. Separate
Application Required for Every Sign.
3 Application for Permit to Erect a Sign
A ?ls G{MIYE
Salem, Massachusetts 19_
l� 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. Zoning/District
Name of Property Owner
Name of Sign Owner �-tlur-cd a p i n 0.
Address 3:5 4C �T. { 1Q)s �C m
1 If Owner is a corporate body, name ofresponsibleofficer
Name of �edSign Erector (^ ��
Address_ b I i� n J� 1JCGf�Ogatem License No.
Use of Building: Ist Floor 3rd Floor
2ndFloor 4th Floor
Type of Sign: V Surface, _ Right Angles to Building, _Free Standing
_ Other (specify) Height:
Sign Materials
/ p
Sign Dimensions � � l/A Sign Area SF
Existing Signs: Surface: Sign Area SF
Right Angles: Si n Ar a SF
Free Standing: ign Area SF
Other: Sign Area SF
Signs to be Removed: Type Sign Area SF
Frontage: Building FT Property
J FT
+ignature of Owner
Signature of Owner's Authori d Representative
Address
Estimated Cost Telephone
of New Work $ �J
ignature of Property Owner
APPROVALS:
Salem Pla e
ng Department Superintendent of Streets Historical Commission
ON REVERSE SIDE PLEASE SHOW SIGN SIZE, COLOR, LOCATION; LOCATION OF OTHER SIGNS AND BUILDING
ENTRANCF -
No................................. PLAN OF LOT
APPLICATION FOR PERMIT FOR Show Location of Present Structure SHOW SIGN SIZE, COLOR AND LOCATION ON BUILDING;
ALTERATIONS, REPAIRS AND and Signs LOCATION OF OTHER SIGNS AND BUILDING ENTRANCE
DEMOLITIONS
See attached plan.
................................................CLASS BUILDBVG ;
LOCATION
......................................._.............ward......................ca
•. . - - - -�
U
i0.Owner..........................................................................
-q Cost.............................................................................. ;
u
iCONDITIONS -
o .....................................................................................
- . _ ._...
_. . .. . . .. .. . . . . .. . . . .. . . .... . .. ._ ...._ ... -
................................................................................
. ...................................................................................
....... 11AA�a: .�
75V.. .. ... ....... ........ . .............................. ...................
. . . . . . .
Permit Granted
.................................................................. 19..........
....................................................................................
C4
C4
1