SHALIAN JEWELERS 528 Loring Avenue
Shalian Jewelers
.•� PERMIT BUST BE O TAILED' o.r_?,= SEGII:;' ING TORY.
A?PLICAT101' !LUST of SUEli ITTED IN DU?LICAT- , _�,E SET TO BE FILED WITH THE
PLAGRING DEPA.RIN�ENT, AILD OI:E SET (?cARI :;' Tn. A.%?RO'cAL OF inE FLAI.�I} G '
TO SE FILED " -
pEPAP.TItE1dT) '.:ITH T.._ :UIL^ , :�� ;SPECT
Location, 0..nership, and Detaand Lecible. il ",est be Correct , Complete
' F cepa - a ication Required for `_very Sian.
= ` = Replication nor Permit to erect a Sign
G
Salem, 'Massachusetts
To THE BUILDING 1 :!SPECTOR:
The undersicned hereby applies for a permit to _ Erect, Alter, _ Repair
a sign on the following described building: ..
Location and No.
i Zoning/District
Name of Property Owner � -
Name of Sign Owner �, -A,Address
If Owner is a corporate body name of responsible of icer�r
Name of Licensed Sign .Erector Salem
f7— / «License No. pioZ �
Address
Use of Building: lst Floor rd-Floor
2nd Floor 4th Floor /t� e�
Type of Sion:. _ Surface,
Richt Angles to ouilding, ,---Free Standing
_ Other /(specify) Height:
Si.c_n Materials. � v
/ < Sion Area lemic S
Sign Dimension,: 7 X
Sign Area S
Existing Signs : Surface: Sign Area O rv<<< S
Richt Angles: �
Free-Standing Sign Area � _�-
Sign Area
Other `-
Signs to be Removed: Type
'Sign Area
Frontage: Building S(7
FT Property �wC) i
Name and Address of Signature of Owner
Insurance Company:
1✓ia/�ro��l- t �9�(1 Signature of Owners uthorized Representative
"169 Gnc_ tkl
Lu�vJin/ 'ASS 4//�K /JSC7// ;
Address
Estimated Cost _4 Telephone
of rew Work `f5�
--
APPROVAL Signature of Property Owner
J . .
ron0ent or t �_LS HIStOr ICa OmTi551�
f e !
PLAN OI:.LOT
. SHOW slcra SIZE , col_oR Arlo LOCATION Oil uull-olnc ;
'LI CATION FOR PERM: 1' FOR Show Location of PrescnP Slnicturo LOCATION OF OTHER SIGHS Atli) BUILDIIIG ENTRANCE
LTERATIONS, REPAIRS AND and Signs
DEMOLITIONS
..CLASS BUILDING ,z
LOCATION `
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Ward.............................._.....
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CONDITIONS
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Pcrnsit Crantcd
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