TWIN MOUNTAIN SPRING WATER 220 Highland Avenue
Twin Mountain Spring Water
iy APPLICATION FOR PERMIT TO ERECT A SIGN
•.I.ml. Salem, Massachusetts 19
PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
RECEIVED
APR p 6 1994
TO THE BUILDING INSPECTOR: Salem Planning UePt.
The undersigned hereby applies for a permit to v/ Erect,
Alter, Repair a sign on the following described
building.
Location aaa WSy out 6t_ Zoning/District
Name of Property Owner Sli,b�rs� 4z_�Fl Tws{ llr{ 3Y Zvv�)ec
Name of Sign Owner Tk. . Na �a r SQv 4)P_k1r
Address aW l�kS) lavd Nue-
If
ueIf Owner is a corporation, name of responsible Officer 1�YN 4 �aarl Tnslez
Name of Licensed Sign Erector �� Sirulew.�L Iv [{tjKSS
Address )y\ LAb0 k S} 6VAq License No. Ioa�
Use of Building: 1st Floor ✓ 3rd Floor
2nd Floor 4th Floor
Type of Sign: v Surface Right Angles to Building
Free Standing Other ( ) Height:
Sign Materials : N'0. 1e11e y
Sign Dimensions : - bl f �9 Sign Area )%'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 Sign Area SF
Frontage: Building - 16D n RFT Property 300' FT
Signature of Owner h6ewT
Name & Address of Address 11J 11�41w�d Rye �lnw�
Insurance Company:
Telephone -114LA - 1�61
acu `ala-k S�
P1N 0X110
lel) �bt� 6100
Estimated Cost of New Work: 11),00 co
AP�5 OVAL r:
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This droving contain proprietary information
and design concepts and 1s property of United
Graphics, Inc. It Ss being presented to you
-,r for your exclusive use. It may not be copled
or he. to anyone outalde your organization
- without the expraes vrlttan parmisston of
,y• £r .d a'� I?' United Graphics, Inc.
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UNITED GRAPHICS, INC.D/B5353
287 R SIGN EXPRESS Eastern Bank
287 RANTOUL STREET
P.O.BOX 3106 NUMBER
BEVERLY, MA ( :�' " 63-179/113
PAY: TWe A-1 aMA 001100
DATE L-�I(�IGj�1 AMOUNT W,O0
TO THE ��� J (a1euu`
ORDER
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ii•00535388 i:0ii30i798j: 09 i344 all.