PINO'S 124 Boston Street
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.are c; Prc=ert'; Owner
am C c' cn C,.ner 5
,ddress
=ody name c" ^sfble crficer
f er s a cor ='c - j f�eCl��i� �N� ig3� \nSA�xtCS\•�
';ame cf Licensed c : cn =rector
`�r��r\lnn�.� (1Pcti�^ \•��\l�Sr, ln cc Flea
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L icense Lo.
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=10or ✓ 3rd-Floor
Use of °uiidina: ' s =1oor nth rr"loor
id
/ Surs�ce, Ric", ;ncles :o cuildinc , Free Standing ,
Type of Sian:
V ...
Heicnt:
Other (specify)
'
cic_n na;erialsh
(�! 1( I Sian Area SF
Sicn Dinensions SF
Sign Area
xisting Signs : Surface: SF
Sian Area
Hieb: Angles : Sian Area SF
Free-Standina Sion Area SF
Other
Sian AreaSF
Signs to be Removed: TYPe
FT Property
Frontage: `.uiidina_
Name and dcress of Signature of Owner
nsurzice CC=Pany:
Sionature of Owners Authorized Representative
RdCICi�" � Address
Estimated Cost Telephone
of New
Signature of Property OwnerAPPROVALS:
I
PLAN Of Lor
. - SIIQ(1 SIGI1 SILL , Coluil nllD LO(:r.l l ��n „�I inSi1.I,IlU; ;
(TION FOR PERI\.l FOR Slow Location Of Pccic"I Si�ucl "a IMCnT11111 OF O'filLR SIGIIS AIII) ISillllslll(', Lit kfmcC
,TIONS, REPAIRS AND and Signs
DBMOLITIOPIS
............CLASS IIl11I.DING
LOCATION
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CONDITIONS
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Pec��it Crnnlcd
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