MY FLORIST [203Washington Street
Florist
• . _^ver
JQRMIT ""ST
SI 'T- II.;17H THE
LEPARTMEHT, D c = . __AR1
EP.ARTY�ENT) 73 5E FL Tr - E =JI LGI !;; I ';S E
and L_^_ i l -carate pi
ev cr -.ery Sign.
''�''
Application for Permit t
pP o Erect a Sign
= �� �
Salem, rtassachusetts 3 as. 19 Q 1
T1 THE E'.!It.DI;IG IIiSPECTOR:
V/ Erect , Altcr , Repair
T.._ _nd-_rsi :ne� are�ljy applies -ter perm [ �o —
a si -,non t,e r,:llowinc des cri `_ed buiidi•nG :
S� ur. i Cl
Location and ilo. a03 Waw-.3Fwn °_Zo: ic,
-c _'f Property Cwner tk%" F" 4N
:,ame of Sign Owner F1611-t4
ddress
If S.aner is a corporate bocy race of responsible off icerlo�04y\'\ "n�
Name of Licensed Sign Erector Lk v\ Co hC
Salem Oda
,address ��i1 1tLt�llJv-� S} '� � License No.
use of Buiidinq: 1st Floor 3rd Floor
2nd Floor 4th Floor
�• Right Angles to building , Free Standing ,
Type of Sign: Surface , 9 9
_
Other (specify) Height :
Sign Materials Ski C tUVA044, ^ C'xb�`"`•} I I�,I�n t�ln[.Q,µ+eM•''4
Sign Dimensions
�I * S i gn Area y 0 Sc
n Area SF
S
Existing Signs: Surface: igSF
Right Angles : Sign Area _
Area n Sr
Free-Standing Sign SF
Other Sign Area
Signs to be Removed: Type
Sign Area SF
Frontage: Building
FT Property FT
Signature of Owner
Signature of Owners Authorized Representative
VOL -� ^
�u�rlewu;z
Address
Estimated Cost cyb� Rat S�Ub
of New Work 'k �� Telephone
APPROVALS: Signature of Property Owner
qSal istornca ommtssion
m P anning OCparLln t
Superintendent or t- e[s
ON REVERSE PLEASE SHOW SIGN SIZE, COLOR, LOCATION; LOCATION OF OTHER SIGNS AND
BUILDING ENTRANCE.
I
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LE Rut S I tou l GRCEu1
�tt�RS+ PvRD�Q wu re
�Iru� wLt�res n�
CLIENT DATE
THIS DRAWING CONTAINS PROPRIET4.RY INFOR`AP.TION P,ND DESIGN CONCEPTS AND 15-ROPERTY OF 287 Rantoul St.
UNITED SIGN CO..INC. IT 15 BEING PRESENTED TO YOU FOP YOUREXCLU51VE USE AND MAY NOT 6E Beverly, MA 01915
LOCATION DE5IGNED 5Y _I COPIED OR SHOW`!TO ANYONE OUTSIDE'OUR 0RGA.NIZP1014 WITHOUT OUR WRITTEN PCRMI5510N. Phone 508-927-9.346
CHANGAC OF COLORS,SIZE.MATERIALS.OR ILLUMINATION DOES NOT ALTER THE 54,510 DRAWING.
Fax 506-927-9.351
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MY FLORIST, INC. 53-179/113
99 NORTH ST. 0968 977
SALEM, MA 01970-3962
DATE .. 4_��7 7
PAD TO THE
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ORDER—/ --I $
DOLLARSE] m
Eastern Banlc to
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LYNN.MUNION ION ELAS OIyObiBOU
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EMO—_1:01L30i79Bi: 09 6892 097