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Application for Permit to Erecta ign
Salem, :',assachus,e[ts l � �6 19
TO THE I 'iSPECTOR:
T,._ _n ars is -.3 re by appli _s -s: a perm [ :o �Erec[ , Alter , _ Repair
siCn�on [.`..n ^1lowinC descriced toi1din? :
-cca[ ion and ilo. ^ loninc/D i , [rict
Property Owner Owe �a�\ V�v�v 45sbci0.�A
I:ame of S i un Owne r
:..ddrCss ewe �tew. l�-c��• },��
r,.dner i5 a corporate �`'OC'/ .pane of responsible officer
1"V,uY� CL�r1Y
Name of Licensed Sign Erector IEC \Vvu�eWicZ
nd—
SalemIUa�
:,ddre.s a�1 �'i`^"'�"1 S� 1 �� License No.
Use of Buiidinq: Ist Floor V/ 3rd Floor
2nd Floor ` 4th Floor
/ Right Angles to Duilding , Free Standinc,
Type of Sign: Surface , V
Other (specify) Height :
Sign .Materials Ouu" s"
Si n Area SF
Sign Dimensions )b h`t% g
Sign Area SF
Existing Signs: Surface : SF
Right Angles : Sign Area
Free-Standing Sign Area SF
Other ,Sign Area SF
Sign Area SF
Signs to be Removed: Type
>F IVB
Frontage: Building
FT Property FT
Signature of Owner
Signature of Owners Authorized Representative
Address
Estimated Cost �aZ q3{6
of New Work OD Telephone 1/ n
APPROVALS: Signature of Property Owner tcG� PcGP 1' _
�\ t
JU- istonca ommission
Salem
P7—alining Department Supernnten ent oY [ secs
ON REVERSE PLEASE SHOW SIGN SIZE, COLOR, LOCATION; LOCATION OF OTHER SIGNS AND
BUILDING ENTRANCE.
PERMIT "uJST -_ _'_T-.I „E'. 'F=ORE _c_ i;RlI ;1G ,;GRK
= : LEO ,:ITH T
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ete
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.:nu Lopera ^l,or E . _—/ Sign.
s
�,<�-;,�..,:� Application for Permit to Crect a Signi
Salem, ;'.asSachusettS
.O THE E'.'ItJI .I SPECT OR:
/ Erect , alter , Repair
P
- , _....er, i : _ .-.erehy applies ro, a pemic ,o V
sien^cm t:�^'-711owinc des cri `_ed Luiidin� : —
_oca[ ion and ilo. � 'y �� mooning/Di , trict
-f Prnpert , O,jner
:ame or Sian Owner `` V�lewov��
:.4dre55 U� b') �Y
If '-Nn 2f i5 a corporate bOCy na^.e Oi re5DOn51ale nrrlCer
Si�pw� Q��y
Name of Licensed Sign Erector Std �'f{1�eSS I Ed �uua�eWitL
Q Salem
:address
��1 �`q,tt ` S!; ,Uc,f�� License Na.
Jse u Building: s d oor V/ 3rd Floof
2nd Floor 4th Floor
Type of Sign: V Surrnce , Right Angles to 3uilding , Free Standinc ,
_ Other (specify) Height :
Sign Materials "D 4 Ub°A
Sign Dimensions II 10" 1i ` ` ao" fat Sign Area �� SF
0
Existing Signs : Surface: ) MD Sign Area a SF
Right Angles : Sign Area SF
Free-SCandinn Sign Area SF
Other Sian Area SF
Signs to be Removed: Type Sign Area SF
Frontage: Building
%oFT Property I`-y� FT
Signature of Owner
SignatureofOwners Authorized Representative
V� X
Address
Estimated Cost
of New Work ' )OD Telephone
APPROVALS: ske", L� DO�L Twy�i
Signature of Property Owner l
Sal m an I g Department Superintendent of t .:ets 1S—to—n ca omm�sslon
ON REVERSE PLEASE SHOW SIGN SIZE, COLOR, LOCATION; LOCATION OF OTHER SIGNS AND
BUILDING ENTRANCE.
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This driving eontalm proprietary of
Milon
and design .e. I4 and In property of united
Graphics, Inc. It in . It preeanteb to you
Por your exclueen. uee. It say noC be copied
r show to enyona oubltle your organisation '
without the express written perelselon of
united Graphics, Inc.
CIPTEN S0
°�°�S5IDAY 0 n o za mm
TIEUI ODAY n o 49M
This Crewing cOntaLu proprietary infoation
and design gonaspts and is property of United
draphiCs. Inc. It is being presented to you
for your exclusive use. It say not bs copied
or shown to anyone outside your organitatlon
Without the express written psrsiaalon of
United draphlce, Ing.
ae i Io" IA MOD S ��