7 CROMBIE STREET - SIGN PERMIT 7 Crombie Street
Crombie Street Congregational
Church
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�\ - � =aible _=Zara=_ ccired or E'. _ry Sion .
n1% npi;,kation -or
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`;clef], ��asSaChusetts oaf / 19 /O
To Ti'E DUILDING I ,iSPECTOR:
P� lies for a ,er-1t to Y. Erect, X Alter , _ Repair
Tne un dersi _ned „er__y applies
a Sicn on t.`.e f^_llc>+ing des cri' d b u i idir:
��.Ot„s(1e- Sh-Cpm �/ 7 _onina/District
Location and No. C'�.ee/�l✓
:ame of Property Owner Clovwhsz f�^eGt Concy���o�ibka�
::ane or S cn Owner Crow.6'i- , ePa^ �o
ae d„Ai d>" G�cv�!✓
C�ow,h�e SlrePs T O. 13a- cPlo Ja/ec,� o�g7o
;address 7 E/sel�i�/rau�
If Owner is a corporate body nano of responsible officer 7/aas7 pe .
Name of Licensed Sian .Erector Salem
hl Wowc�-+ �lfxY ilasil�G+c Gi (Gvr� nst4nJLicense No.
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Use of Building: Ist Floor Lel o �� c(�«/, th Floor
2nd rr"loor tiv�cl /Y
Richt Anales to auildina , Free Standing ,
Type of Sian: K Surface,
Other (specify) Height:
Sicn Y.ateria
s
ZOf 1C 2y +� Sian Area � �� SF
Sian Dihens ions �A �+
X Sign Area o.rs "x $-O SF
Existina Sions : Surface: Sign Area SF
Richt Angles : Sign Area SF
Free-Standina Sign Area SF
Other
Signs to be Removed: Type SGS!'
_ Sian Area 5-S. k SCJ SF
5-B FT Property /Do FT
Frontage: Building
Name and Address of Signature of Owner IPU �YIlL1 �J a✓�P
Insurance Company:
Signature of Owners Authorized Representative
Njeq. ar a..A M4UO..Ade.
Xe, CONS+�h�.'oN nlaL1QJ
Pa ✓gox Y/o/ .f4,18," h1h 019 7C,
Address 7
Estimated Cost (CM �,{;'_!! zl yr
of New WorkCs�B� �sII — 6363
TeleOhone
� APPROVALS:
Signature of Property Owner k3 Qyle
Jr ets rtlsLorlcal Lornlsslon
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OUTREACH
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