TOUCHLESS CARWASH 290 Canal Street
Touchless Carwash
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} Canal Street Citgo j
Touchless Car Wash i
Auto, Boat, & Truck Cleaning
STEVEN BORNSTEIN
290 Canal Street Salem, MA 01970 508-740-5115
41 ij
Date Time
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Permit Number
PERMIT MUST BE OBTAINED BEFORE UEGINNING WORK
APPLICATION MUST BE SUBMITTED IN DUPLICATE, CNE SET TO BE FILED WITH THE
PLANNING DEPARTMENT, AND ONE SET (&EAKLUG THE APPROVAL OF THE PLANNING '
DEPARTMENT) TO BE FILED WITH THE BUILDING INSPECTOR.
c°"°
cw' '< Location, Ownership,�e p, and Detail Must be Correct, Complete
and Legible. Separate Application Required for Every Sign.
E.= ; " Application for Permit to Erect a Sign
Salem, Massachusetts ���A l'� 19
TO THE B°JILOING 1:;SPECTOR:
The undersi_neG ereby applies for a permit to Erect , _ Alter, Repair
a sign on tie following described building:
Location and hlo.2q(� C�, n�� pc� 'Zoning/District
Name of Property OwnerS (�� I� <�
Name of Sign Owne r q�( n CA ��Y{eQ V Bpi i/1 (.< 1 1�
Address I C it CA C, -
If Owner is a corporate body name of responsible
officerS (evq i N H Sj
Name of Licensed Sign Erector � ���\ c4� jQ ( Jv \VP120rlC }'rJ'A 115
Salem
Address License No.
Use of Building: lst Floor 3rd Floor
2nd Floor 4th Floor
Type of Sign: Surface, Right Angles to Building, Free Standing,
Other (specify) �.�; Y\ \ nCl Height:
J
Sign Materials_ //II
Sign Dimensions, f a&44) y1 ,h Sign Area SF
L- If d'Ri
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 �� 1��V1� Sign Area SF
Frontage: Building FT Property FT
Signature of Owner , ko-r'4t/ 4
Signature of Owners Authorized Representative
iQ
�(( Address ol 0
Estimated Cost
of New Work / / -Telephone II
APPROVALS: Signature of Property Owner"4/, L)1'1L
Salem P anning Department Superintenaent or St-oets Historical Commission
ON REVERSE PLEASE SHOW SIGN SIZE, COLOR, LOCATION; LOCATION OF OTHER SIGNS AND
BUILDING ENTRANCE.
No. ............. ................. PLAN OF LOT
APPLICATIQN FOR PERMIT FOR Show Location of Prescnt Structure SHOW SIGN SIZE, COLOR AND LOCATION ON BUILDING;
ALTERATIONS, REPAIRS AND and Signs LOCATION OF OTHER SIGNS AND BUILDING ENTRANCE
DEMOLITIONS
' ................................................CLASS ]BUILDING
LQCATION ,
NO.................................................... _ ..................
'
......................................._.............Ward...................... '.. _ . _.. . ._ . _.: . _ . . ..
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I CgNDITIONS
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.............................. ..... ................................................. _..`1- :-�:-- :'-',_'� -'-•• ,
V................................. ................................I...................
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Permit Granted
.................................................................. 19...!......
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CANAL STREET SERVICE INC.
290 CANAL ST. PH. 508-740-5115
SALEM, MA 01970-4512 53-179/tt3
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LYNN. ASSACHUSETTS TREET W 1-IJ90 IMP
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