TONY LENA'S PIZZA 111 Canal Street
Tony Lena's Pizza
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AM ICATION CUST BE .SUEmITTED IN DUPLIUIE, CNE SET TO B FILED:`WITt1 TME _
V. ?LAGI:IIIG DEPARTI;_:1T, AI:D O::E SET (BEAP.IIIG THE APPROVAL OF THE PLAIINI
DEP :RTM£1,�T) TO BE FILED WITH TSE BUILDIUL INSPECTOR.
,,a•�� "�..5� Location, Ownership, and. Detail Must be Correct,.. complete
•' and Legible. Separate .Application Required for Every $ip.
Application for Permit to Erect a Sion
Salem, 'Massachusetts 1
TO THE BLIILD114G INSPECTOR:
The undersigned hereby dpplles for a par-mit to i rrect, Alter, ReF
a sign on the following described building:
Location and No. Cj%& Af >: T Zoning/Dlstfict��
name of Property Owner,;^ e r0r,�w
Rame of Sign Owner AN!P
If Ownnr is a corporate body nane of responsible officer
name of Licensed Sign ,Erector C&ejL PErErtl�N m�a6A. /arse f rir..F f .
Salem
Address9i 61AA CH,-1XV' D R �wcTon M /� License No. /2^ S_`
Use of Building: lst Floor 3rd�Floor
2nd Floor 4th Floor
Type of Sign: Surface, Right Angles to Buildint, ' Free $ta,
_ Other (specify) A.WfJIN& i9ht:
Sign materials.
Sign Djincnsioos'2Rax ISign Area
Existing Signs: Surface: Sign Area
Right Angles: Sign Area
Free-Standing Sign Area
Other L Sign Area
Signs to be Removed: Type Sign Are T,
-
Froniage: Building �� FT Property
Name and Address of Signature of Owner
Insurance Company:
Signature of Owners Authorized epresenytive
'• Address
Estimated Cost p
of new Work22 fryTelephone
APPROVALSq Signeture of Property Owner
al :+ Plane ngt, ^t o t%:ets• Mrstortta.i 4»•
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ATLANTIC SIGN WORKS 1114
_ - SPECIAL ACCOUNT
' 28 GOODHUE STREET-
4 i SALEM. MA 01970 53-276
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