SIGN PERMIT Sign Permit
119 Lafayette
,.� i
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.
Location, Ownership and,Detail Must be Correct, Complete and Legible. Separate
Application Required for Every Sign.
fi
rlg Application for Permit to Erect a Sign
Salem, Massachusetts 6 19_
TO THE BUILDING INSPECTOR: fT
The undersigned hereby-applies for a permit to►Erect,_Alter,_Repair r
a sign on the following described building: =.'�
k I �� LJy ST', Zoning/District k
i
Location and No.
Name of Property Owner( VVI N G
Name of Sign Owner Xc Lleoc-vO
Address x I n LAFA?f,---i`1- ':�t . . ,AL .,,w% VSA
If Owner is a corporate body, name of responsible officers � ,LR •�i �/V
Name of Licensed
'Sign
fErector Cot.)C..�r
Address �� V�/ 12 ST , Salem License No.
Use of Building: 1st Floor V 3rd Floor
2nd Floor 4th Floor
Type of Sign: ✓Surface, _ Right Angles to Building, _Free Standing
_Other(speciffy))� Height:
Sign MaterialsOf2-W1�� C—
Sign Dimensions Zo tl X �6/ Sign Area l0 !/ L-�'f'f ;R S 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 A/01V E Sign Area '� — SF
Frontage: Building "A 4 FT Property FT
���0 Signature of Owner k /� /��. myz(1�l� /
U Signature of Owner's.Authorized Repres`e alive
l.r�,� rpv l��r�c� � �� - ��i -rl6L ��/ �/�f �,
Address1 ►( LAM' = S� . !
Estimated Cost-1 Z Telephone / /�' 7 f �� �6�1�o st
of New Work $ f •
Signature of Property Owner tk
APPROVALS:
S em Ian ing Department Superintendent of Streets Historical Commission
JN REVERSE SIDE PLEASE SHOW SIGN SIZE, COLOR, LOCATION; LOCATION OF OTHER SIGNS AND BUILDING
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