22 HAWTHORNE BOULEVARD - SIGN PERMIT 22 Hawthorne Boulevard
David H. Gonet Funeral Home
Permit Number
PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
APPLICATION MUST BE SUBMITTED IN DUPLICATE, ONE SET TO BE FILED WITH THE PLANNING
DEPARTMENT, AND ONE SET (BEARING THE APPROVAL OF THE PLANNING DEPARTMENT) TO BE
FILED WITH THE BUILDING INSPECTOR.
Location, Ownership and Detail Must be Correct, Complete and Legible. Separate
Application Required for Every Sign.
Application for Permit to Erect a Sign
Salem, Massachusetts 19
TO THE BUILDING INSPECTOR:
The undersigned hereby applies for a permit to)C Erect,_Alter, _Repair
a sign on the following described building:
i
Location and No. 7_Z 94,y avH r ���a. Zoning/District
Name of Property Owner 04 ,,,d
Name of Sign Owner vti e
Address orne Rid. f SaleH / /ya
If Owner is a corporate body, name of responsible officer
Name of Licensed Sign Erector_ 001
Address yep Rat-,, S/ /Ja�(P. �/yN . Salem License No. /070
Use of Building: Ist Floor u vz oci 3rd Floor
2nd Floor 4th Floor
Type of Sign: _ Surface, _ Right Angles to Building, _Free Standing
— Other (specify) Awn/:nrx Height:
''
Sign Materials T-B r; r �S 14.4 6 e//a Hl" r
Sign Dimensions Sign Area SF
Existing Signs: Surface: Sign Area 5F
Right Angles: Sign Area SF
Free Standing: Sign Area SF
Other: Sign Area 5F
Signs to be Removed: Type Sign Area SF
Frontage: Building FT Property FT
Signature of Owne'-4& —f ky (j't/'t
Signat,ure of,Owner's Authorized Representative
Address y�1—� nrH 5�• ��Gke- /74 . Ods,
Estimated Cost Telephone 7PI/ 2 - 0S6
of New Work S /2 SD
Signature of Property Owne `
APPROVALS:
Salem Planning Department ) Superintendent of Streets Historical Commission
ON REVERSE SIDE PLEASE SHnW SIGN S17P m1 na t nrATInV I nrsTnn,v nc nTHFR CIr.' c e,�In Pi m niur.
' rro►."fi' ,ppvr
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4.6
8—o a6, a 'yo 11 p /n
S�de�lk "'e Urercl f� I
9-0
Mlk+eriql $ unb,rejja ►vjA &.4T4e le erIAJ
ClhorieS s{,w// dC con4rAt4eW of A ^eh/ -A?*ckwrA
slde Door
3-S
S � g'o o,6*ue
3-0 Pro�ecieh
i
(617)24-6450 486 MA SVM
WSW
(617)224-3461 fle
461(Fax) W.keW.MA Ota60
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B� D
Atl.
CANVAS •TENTS • AWNINGS
THOMAS C.YOUNG
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David Ie+fev � zl�tfs
Go
runera o I SJe� door awNiNc�
22
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Western Surety Company
LICENSE AND PERMIT BOND
' For County,City,Town or Village Only-Not Valid for Bonds Required by the State.Not Valid for Contract,
Performance,Maintenance,Subdivision,Agent to Sell Hunting and Fishing Licensee or Utility Guarantee Bond.
KNOW ALL MEN BY THESE PRESENTS: BOND No. L&P-4 2 H 5 2. 1 H
Thatwe, David Gonet d/b/a Gonet Funeral Home ;
of the City of Sal em , State of Massachusetts , as Principal,
and WESTERN SURETY COMPANY, a corporation duly licensed to do business in the State
of Massachusetts as Sure ttyy, are held and firmly bound unto the
city of Salem , Stateof 1-lassachusetCs Obligee, in the amount
(Valid only when a County,City,Town or Village is named as Obligee)
of One thousand DOLLARS ($ 1,000.00 )
(NOT VALID FOR MORE THAN$25,000)
lawful money of the United States, to be paid to the said Obligee, for which payment well and truly
to be made, we bind ourselves and our legal representatives,jointly and severally.
THE CONDITION OF THIS OBLIGATION IS SUCH, That whereas, the Principal has been
licensed for awning permit
by the Obligee.
NQQFORE, if the Principal shall faithfully perform the duties and comply with the laws and
orda - inq, all amendments), pertaining to the license or permit, then this fPNation to be void,
eihn full force and effect for a period commencing on the day of
Z 0Z'- `. 0 ' '= 1999 , and ending on the lith
day
g`ft,s Novem3 , 2000 , unless renewed by continuation certificate.
ir£poli rpy I1rminated at any time by the Surety upon sending notice in writing to the Obligee and to
t�Fi�� 'nciin. of the Obligee or at such other address as the Surety deems reasonable, and at the expira-
tioif935) days from the mailing of notice or as soon thereafter as permitted by applicable law,
whicheVenrFg, beY',this bond shall terminate and the Surety shall be relieved from any liability for any subsequent
acts or omissions of the Principal.
Dated this 11th day of November 9
r
Principal
Principal
Countersign 1 WESTERN S U E T Y C O N Y
By By /'�C� �_ T
Resident Agent President
ACKNOWLEDGMENT OF SURETY
STATE OF SOUTH DAKOTA i ss (Corporate Officer) :
County of Minnehaha f
On this 11th day of November 1999 , before me, the undersigned officer,personally
appeared Stephen T. Pate who acknowledged himself to be the aforesaid officer of WESTERN ;
SURETY COMPANY, a corporation,and that he as such officer,being authorized so to do,executed the foregoing
instrument for the purpose therein contained, by signing the name of the corpor • n by himself as such officer.
IN WITNESS WHEREOF, I have hereunto set my hand and official se-l"
J. RHONE
NOTARY PUBLIC
SOUTH DAKOTA sr:A° 10otary Public, South Dakota
My Commission Expires 6122004 Western Surety Company
Fo,m 849-A—12-98 1 ''+ 1-605-336-0850 '
® m
- DATE INVpLF AMDIIM
WILLAIM BLANCHARD CO., INC. 3561
486 MAIN STREET
WAKEFIELD,MA 01880 5-20
(781)245.8050
110
_ � p
PAY DOLLARS
HRS. DATE I TO THE ORDER OF GROBS INCOME SOC. ST. B.C.B.S. MEDIC NET AMOUNT
AMOUNT A% SEC. TAX T
DESCRIPTION
eW ILLAIM BLANCHARD CO.,INC.
ms.e.m
FLEET BANK OF MASSACHUSETTS
W400356Lila 1:011,000 2061:02235 2475811'
;�• �; t J �_ APPLICATION FOR PERMIT TO ^E/RECT A SIGN �
Salem, Massachusetts 1 Gyc559719 —
/
PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
TO THE BUILDING INSPECTOR:
The undersigned hereby applies for a permit to Erect,
Alter, Repair a sign on the following described
building.
Location OA/'f H9u/77�oiuE /✓LU/'• Zoning/District
Name of Property Owner �/2a"L- P&:3 /mac.
Name of Sign Owner 'YLko/IEGy /v/ Cl_ci/�CJ�/ ������
Address 30 /Z/.r/cE%O� ST '99i1Cje1?S ' "/� u 6/9L3
If Owner is a corporation, name of responsible Officer
Name of Licensed Sign Erector
Address License No. —
Use of Building: lst Floor 3rd Floor
2nd Floor 4th Floor A
Type of Sign: tl� Surface Right Angles to Building
Free Standing Other ( ) Height: _
/HIs S'Gti ws
Sign Materials : W op ` gr hp�bs� Neo`crEo
Sign Dimensions : 22 )( /"c Sign Area A 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 46101"60 Sign Area SF
Frontage: Building / 7 14�T FT Property 6�6) FT
Signature of Owner v ��
Name & Address of Address a �� /?JG �.v S; I?gNvE� S
Insurance Company: q
Telephone
Estimated Cost of New Work:
A$P)tW0 A S
OLDE NIAUNiKEAG ANTIQUES No. 0:7 Z
Salem,M.A 01970 �/J 53-2351113
PAY
TOTHE �;�-y Of k-��� $
ORDER OF t
DOLLARS
Bal/Bank
BayBank Middlesex �1 C
Massach etts Z
I:OLL3023571' 262 98"` 1_ _
6�� l'�'�
Tf
Ctu i i �tttem. massar4usetts
la" to Public Propertg Department
Nuilbing Bepartment
(One t4stem Green
508-745-9595 Ext. 380
Leo E. Tremblay
Director of Public Property
Inspector of Building
Zoning Enforcement Officer
.lune 8, 1994
Harry Mitchell
135 Derby St.
Salem, MA 01970
RE: 10 Hawthorne Blvd.
Dear Mr. Mitchell:
This office has issued a permit to erect a 20" x 29" sign at the above
referenced property. Upon an inspection it was noted that said sign was
located less than the required 10 feet from the sidewalk. Also, there are
additional signs and an awning for which no permits were issued.
You are requested to contact the Planning Department upon receipt of this
notice so as to take the steps necessary to correct this situation. Failure
to comply will result in the appropriate legal action being taken.
I thank you in advance for your anticipated cooperation in this matter.
Sincerely,
� Z-A;. r,�r-�bGl
Leo E. Tremblay f/J
Inspector of Buildings
AN Zoning Enforcement Officer
LET:bms
cc: David Shea
Ellen Dubinsky, Planning Dept.
Councillor Ahmed, Ward 1
/10hwthn/
\L=Az:
J
Salem Historical Commission
ONE SALEM GREEN.SALEM,MASSACHUSETTS 01970
(508)745-9595 EXT. 311
March 22 , 1994
NOTICE OF VIOLATION
The Mitchell Family
135 Derby Street
Salem, MA 01970
Dear Madams/Sirs :
The Salem Historical Commission respectfully requests the
immediate removal of the framework of tarot cards being used as
exterior signage which has been attached to the window sill at 135
Derby Street. Please be reminded that work completed to the
exterior of a building in an historic district without first
receiving the necessary approval of the Commission is subject to
fines of up to $500 per day from the date of violation.
Thank you for your immediate cooperation in this matter.
Sincerely,
THE SALEM HISTORICAL COMMISSION
Richard Oedel
Chairman
cc: E. Dubinsky
Licensing Dept.
Building Dept.
City Clerk
= PERMIT UST BE OBTAINED BEFC.'.E =EuI::JING l.l3k
APPLICATION MUST BE Si:3MIT7ED III DUPLICATE, C-NE SET TO EE FILED blITH THE
PLANNING DEPARTMENT, ',t:O ONE SET (3EARINS THE ' ��ROVr.L THE PLANNING
DEPARTMENT) 70 BE F! L WITH THE BUILDI'.; INSPE=TOR.
ya•°°'""/,�,
Location . O:mership, and Detai Must Correct, Complete
_nc L-_pible. =ooarata iz- Ion 'or Every Sian.
�( 6
Application for Permit to Erect a Sign w
Salem, Massachusetts _19—
TO
9_TO THE GILDING I : SPECTOR:
The undersirne� =ereby applies for a per-it to Erect, z; - Alter, Repair
a sign on tie fallowing described buildinz:
Location and No. ( ���' �r�- � /i -�.Zoninc/District
Name of Property Owne �� L: e
Name of Sign Owwnnneer /%r. i /= .7f' .y
Address
If Owner is a corporate body name of responsible officer
Name of L i tensed yS,' n Erector Lin ./. i //ate r /� : 7 -A SaleAddress P ,� _ / ._ —License No.
6?Use of Building: 1st Floor /l 71� r 2 3rd Floor/.. i
2nd Floor i ;,, s 4th Floor
Type of Sign: Surface, _ Rigghhtttangles to Building, Free Standing,
Other (specify: / /GAJ// . y��r Height/ /7)e7_4-
Sign Materials I Ji, , of_ _
Sign Dimensions Sign Area SF
Existing Signs: Surface: Sign Area SF
Right Angles: Sign Area SF
Free-Standing Sign Area SF
Other Sign Area SF
Sians to be Removea: Type Sign Area SF
Frontage: Building FT Property FT
Signature of Owner-,, ����
Signature of Owners Authorized Representative
Address
Estimated Cost
of New Work Telephone
APPROVALS: Signature of Property Owner
alem P ann It,,
D partment Superintenaent or St-.:ets Historical ommission
ON REVERSE PLEASE SHOW SIGN ST2E, COCOtt, LOCATION; tOCATMW 9F OTHER ate
BUILDING ENTRANCE.
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TO Clement E. Desjardins, Insurance
City Of Salem 20 New Derby Street, P. O. Box 368
Salem. Massachusetts 01970
Attn: Ellen Telephone 7444400
REGARDING: Fatima's Psychic Studio DATE: 2/19/96
Hawthorne Blvd.
Salem, MA 01970
Ellen,
The above named has applied for a Sign Permit Bond and paid $50.00.
If you have any questions, please call.
an you,
°
,
Western Surety Company
,
,
,
LICENSE AND PERMIT BOND
KNOW ALL MEN BY THESE PRESENTS: BOND No. 68474760
That we, Harry Mitchell t/a Fatima's Psychic Studio
of the City of Salem State of Massachusetts as Principal,
and WESTERN SURETY COMPANY, a corporation duly licensed to do business in the State of
Massachusetts , as Surety, are held and firmly bound unto the
City of Salem State of Massachusetts Obligee, in the penal
sum of One Thousand and no/100 DOLLARS ($ 1,000.00 )
lawful money of the United States, to be paid to the said Obligee, for which payment well and truly
to be made, we bind ourselves and our legal representatives, jointly and severally by these presents.
THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, That whereas, the said Principal
has been licensed Siqn
by the said Obligee.
NOW THEREFORE, if the said Principal shall faithfully perform the duties and in all things
comply with the laws and ordinances, including all amendments thereto, pertaining to the license or
permit applied for, then this obligation to be void, otherwise to remain in full force and effect until
February 23 1 1997 , unless renewed by Continuation Certificate.
This bond may be terminated at any time by the Surety upon sending notice in writing, by certified mail, to
the clerk of the Political Subdivision with whom this bond is filed and to the Principal, addressed to them at the
Political Subdivision named herein, and at the expiration of thirty-five(35)days from the mailing of said notice,
chis bond shall ipso facto terminate and the Surety shall thereupon be relieved from any liability for any acts or
emissions of the Principal subsequent to said date.
Dated this 27th day of February 1996
FATIMA'S PSYCHIC STUDIO
Principal
BY
Principal
Countersigned WESTER S U Y COMPANY
By By
Resident Agent Joe . Kirby, resident
ACKNOWLEDGMENT OF S R
(Corporate Officer)
STATE OF SOUTH DAKOTA
County of Minnehaha ss
On this 27th day of February 1996 before me,
the undersigned officer, personally appeared Joe P. Kirby
,
who acknowledged himself to be the aforesaid officer of WESTERN SURETY COMPANY, a corporation,
and that he as such officer,being authorized so to do,executed the foregoing instrument for the purposes therein
contained, by signing the name of the corporation by himself as such officer.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
D. KRELL
NOTARY PUBLIC
LSAL SOUTH DAKOTA SF.eL ` ;
Notary Public — South Dakota
My Commission Expires 11.30.2000 %r Form 532—395 "
0007
„'15 == =Till,__ --• -• - Y
?iEi:Y.IT � --
T. „PL! r __ FiLED VITT 'n:
IA 1 Y V •
??LICAOt; 1.JS1 __ ---.•. -- - - ^,• _ - -. i=._ I _A...\IhG
_JT,c-• _ :ITh rc I L]
:..vers =- =rr'c= -- -. iete
Sign
i f 99
Sales, 1
".asszc�•useta !
T;
-tett
1 i es `or a ;eni t t/Iter , Repair
-
--e c-_ersi : e4.1ilcoingccescr • ced buildi;, —
i c- Cn t.`.e - 1
t , Cn and !;o. ( 1(ll� ) F6i�1E
:are Cf Prc^,erty Owner
ame cf Sign Owner. ��I
-address
bod name of res,onsible officer AY`^a91
t{ ON 4" �isc4lcQeaR
Ir C.:ner is a cgrpo, c ._ Y — 1 \4Qo
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';ane of Licensed Sign c -rector - Salem `• 1
n n 1
�'Ei-- tl, cUC_Kl4e
Address
_ y�.Ca'sfiiscC
Jse or Suildinc:
Floorr_3 C� '`� ' le 3rd-Floor
Is-
*nd Floor €0.� c1 t 4th r"loor
Free Standing
,
T e of Sian: Surface,
Fight Angles :o i:uildinc, 9
Yp 1 �� �Jbr
_ Other (specify) G (�`Y' C� ;1�"� 11I >%- � eight: w_t_e
Sign Materials. �crli i��
�J i 3nIV '7 >42' SF
Sian Area
I
Sign Dimensions
Sign Area 2„t_— 3g G� SF
Existing Signs : Surface: Sign AreaeSF
Richt Angles : Sian Area SF
Free-Standino Sion Area SF
Other
t 6'�14 SF
r �sibs _Are
Signs to be Removed: Type ^—'
r-r
V I FT Property
Frontage: 9uilding
Sianature of Owner 9T
Name and Address of rEv,
insurance Company: '
Signature of Owners AJthorized Represencattve
Address
� .Y1ne/
� ALL
r •
Estimated Cost <-%� '�41 � ��'� 7L'
[e YD Telephone
of !,e 'fork
No _Lt_q."8e
APPA VA Si nature of Property
Owner
rl-nrl or l-oT
511011 51Gll SIZE , COLOR Alit) L(1GAI I , I� ;LI Isilll.0111: ;
x,TION FOR PERM- l' FOR Show °catjO110l PrcicncS�nicturo LOCATI011 OF OTHER SIGHS Alit) R111lG1 ;i1, CII(IIAIICC
,A710NS, REPAIRS AND and Signs '
DEMOLITIONS
_
., ,,•,,,,,•,,,,•..,...CLASS IIUILDING
LOCATION ,
_.........._.\\'n rd.....................
........................... ..............................
CONDITIONS
...................................
..............................................................
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................................................................. . . S
................................................................. _ . _. . . ' - - • - - - -!. _ . . : _ .L . . . .'. _ . . _ . . . _ _ .
Pcrn�it Crantcd I`
17..........
a 6 Hawthorne Blvd.
Salem, MA 01970
(508) 744-6570
Z411
INC.
Dc'sf C,N OF s1GN M PAW NTNG,
TU;� S, DFs
' y FINE
aft Q,cJ�
INDIAN CUISINE
FQ-cNT
FAN� ND1R/'� CU1$�N6
T,4r& OUT 744-6f7V C- rn fi' l! E
,lix 1 199.1
CoLou R' sArtt As PgES SALE]
QAcK G2curvD — c2EP&I
Leer RI% — BRow M
\J1 i i%i{R St4N co 02 SACE4,1 S\GNC-o . b(Z Ory DT14174z
FINE INDIAN CUISINE CATERING TAKE-OUT
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Western Sure
41
tY Company
, a
LICENSE AND PERMIT BOND
For County,City,Town or Village Only-Not Valid for Bonds Required by the State. Not Valid for Contract,
Performance, Maintenance, Subdivision,Agent to Sell Hunting and Fishing Licensee or Utility Guarantee Bond.
KNOW ALL MEN BY THESE PRESENTS: BOND No. L'&P- 60358520
Thatwe, Ravi 's, 6 Hawthorne B1vd. ,.Salem,MA 01970 1 A A
of the City of Salem , State of Massachusetts , as Principal,
and WESTERN SURETY COMPANY, a Corporation duly licensed to do business -in the State
of Massachusetts , as Surety, are held and firmly bound unto the
City of Salem Stateof Massachusetts Obligee, in the amount
(Valid only when a County,
'City,Town or Village is named u Obligee)of One thousand & no/100 ($ 1, 000.00 ) DOLLARS,
(NOT VALID FOR MORE THAN 126,000)
lawful money of the United States, to be paid to the said Obligee, for which payment well and truly
to be made, we bind ourselves and our legal representatives,jointly and severally.
THE CONDITION OF THIS OBLIGATION IS SUCH, That whereas, the Principal has been
licensed Sign Permit Bond
by the Obligee.
NOW THEREFORE, if the Principal shall faithfully perform the duties and comply with the laws and
ordinances (including all amendments), pertaining to the license or permit, then this obligation to be void,
otherwisalio. rVinain in full force and effect for a period commencing on the IST day of
August R� .yam;, 191, and ending on the IST day
of 19_9Z unless renewed by continuation certificate.
This bbn 'M'gy ®germinated at any time by the Surety upon sending notice in writing to the Obligee and to
the Principal, in cr3'014 the Obligee or at such other address as the Surety deems reasonable, and at the expira-
tion of t)iirty-,five ( days from the mailing of notice or as soon thereafter as permitted by applicable law,
whigheveifis ltt (: and shall terminate and the Surety shall be relieved from any liability for any subsequent
actt;'ot, 'ssigTlp� the Principal.
u,
> hl� ,,.=�sm day of Augusr
1�„
18s]r�
„ rye,
Countersigned WESTER U f
M P A N Y
1
By ?- iI1/I� �171)C1LC- L-��_ By
Resident Agent Pree')jent
ACKNOWLEDGMENT OF S ETY
STATE OF SOUTH DAKOTA i (Corporate Officer) - +a , - --
County of Minnehaha sa
On this 1ST day of August 192-1 ,before me,the un cnyparsunally
appeared Joe P. Kirby -, who acknowledged himself to be the aforesaid officer of WESTERN
SURETY COMPANY, a corporation, and that he as such officer,being authorized so to do,executed the foregoing
instrument for the purpose therein contained, by signing the name of the corporation by himself as such officer.
IN WITNESS WHEREOF, I have hereunto set my hand and officialse
G.NYERa
YERS,v� w,ti �
NOTARY PUBLIC
DAKOTA
�L Notary South Dakota
SOUTH DAKOSA "0`7 South u�6V
My Commu Exe 826 88
ACKNOWLEDGMENT OF PRINCIPAL
,
(Individual or Partners)
STATE OF ,
�as
County of
,
On this i day of 19_,before me personally appeared
known to me to be the individual described in and who executed the foregoing instrument and
,
acknowledged to me that_he_executed the same.
Mycommissionexpirer--,+
19
NotaryPublic
ACKNOWLEDGMENT OF PRINCIPAL
r (Corporate Officer)
STATE OF
County,On this day of 19_, before me,
personally appeared who acknowledged himself to be the
of , a corporation,
and that he as such officer being authorized so to do, executed the foregoing instrument for the pur-
poses therein contained by signing the name of the corporation by himself as such officer.
My commission expires
19—
� .; Notary Public
y
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Cv .r4l
RAVrs INC. 1315
D/B/A OH CALCUTTA
6 HAWTHORNE BLVD.
SALEM, MA 01970
5-20
199
PAY TOTHE
ORDER OF 4
$ 12-0-oD
DOLLARS
Sfiawmut
Siwwrnut Bank.NA.
5a .MA 02111 I`
mEmo
11200 13 15um CO i 1000 2061: 50 06 288 2 ?iia
APPLICATION FOR PERMIT TO ERECT A SIGN
Salem, Massachusetts J 6 19�L/y
PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
APPLICATION MUST BE SUBMITTED TO THE BUILDING !NSPECTOR WITH STAMPED APPROVAL
FROM THE SALEM REDEVELOPMENT AUTHORITY.
TO THE BUILDING INSPECTOR:
The undersigned hereby applies for a permit to Erect,
Alter, Repair a sign on the following described
building. /
Location /7�J �j LV� Zoning/District
Name of Property Owner
Name of Sign Owner �/� Q'/4/ii�
Address J 0 // P, W I HD2/v ( y1
If Owner is a corporation, name of responsible Officer
Name of Licensed Sign Erector
Address Salem License No.
Use of Building: 1st Floor V, 3rd Floor
2nd Floor 4th Floor
Type of Sign: Surface Right Angles to Building
Free Standing Other ( ) Height:
Sign Materials : Vn/oo{� �1_r [ �
Sign Dimensions : „(k X 29 30w
{-:) Sign Area 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 / FT Property FT
Signature of Owner
Name & Address of Address /(7 f//�g,�7-f/p�l✓i $% Ir/�,
Insurance Company:
Telephone
Estimated Cost of New Work:
A OVA S :
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ELIZABETH ANN EPHRAIM 53-2351113
10 HAWTHORNE BLVD.
SALEM. MA 01970
P11ayto1 $ go,0�
Ll c orae o�
Wlan
BayaankQ
For
2:OLL3023572: 372 49& 3L11' 0232 -
?E IT !'.JST F_ 03T A
?PLICATiO„ '1L'ST SL3NITTED IN "'?L ! --- -- - -,Z TO == FILED WITH THE
A.,N 1 ,r �,E i!— .E c— ] -- RD'ti r.L �F 7 FLA:lN I IiG
_i?ARTKENT) TO EE FILED ,,'ITh -cEL_ . ._
'«'0=• Loczticn, C.,,nersnlr , _-•"-'-=al ".est correct . Cc:;p tete
and Lear;le a-a e ? icaZicn .ecuarea for Every Sicn.
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r '- AppiicG�Ion Ter �.mlt o _rcct a Sign
Salem, Xassachusetts December 26, 19 89
TO THE WILDING 1 ;1SPECTOR:
The undersigned hereby applies for a - -it 10 X Erect, _ Alter, _ Repair
sign on t; e 'ollowina described building:
Location and No. 22 Hawthorne Blvd . Zonina/District
Name of Property Owner David H. Gonet
Name of Sion Owner
Address
If Owner is a corporate body name of responsible officer N / A
Name of Licensed Sign .Erector
_ Salem
Address License No.
use of Building: lst Floor Funeral Home 3rd-Floor
2nd .FloorRestaen Ce 4th Floor
Type of Sion: Surface, Richt Angles to Building , Free Standing
Other (specify) Height:
Sion Materials.
Bien Dic,ensions 3 '/L 1 �� Sian Area a9. � � OL S
Existing Si-ons : Surface: Sign Area
Richt Angles: Sign Area
Free-Standing Sign Area
Other Sign Area S
------------------ Sign Area ---------------- c
Signs to be Removed: Type
Frontage: 9uilding 36 FT Property X)jX 47 f
r •
Name and Address of Signature of Owner
Insurance Company:
Mc Carthy Insurance Co . Signature of Owners Authorized Representative
------------------------------------
92 North St . --
Salem, Ma. 01970 22 Hawthorne Blvd .
Address --
Estimated Cost 745-4168
Lof New '.'ork Telephone q�
APPROVALS' Signature of Property Owner
_ .,.r a H I S t o r l c a L o r-.n 1 S S i f
PLAN OE I.OT
511ot•I SIGH SIZE, Col-Olt Atli) LocnT lull Oil tsu I
CATION FOR PERA4. 1' FOR Show Location of Prescnl 5lnicturo LOCATION OF OTHER SIGHS ACID GIIILOIIIG [NTftnIICE
[RATIONS, REPAIRS AND and Signs
DEMOLITIONS
.............................CLASS BUILDING
LOCATION - - - -
_.............Ward.....................
............................................................
u ;
CONDITIONS
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` Pcnuil Granlcd
17..........
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1265 3
r iii.`t�it X10-`Wi_nic a PMOVN�^
E DAVID H. GONET FUNERAL HOME 89
r-- --'— 22 HAWTHORNE BLVD.
a SALEM. MA 01970 —n9iHs
— - December
$ - 20.00
PAY City of Salem -- - - -
TO TH E
ORDER OFP''' P���' ' DOLLARS
THE SUM O �' DOLS .t 1��
0 Eastern Bank
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LYNM.MASSI.CMU9ETT901101-1i
FOR
4447 9��'
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