376 HIGHLAND AVENUE - SIGN PERMIT 376 Highland Avenue
Puleo's Dairy Bar&Restaurant
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.
°O Djtiaq� Location, Ownership and Detail Must be Correct, Complete and Legible. Separate
_ Rd Application Required for Every Sign.
�T Application for Permit to Erect a Sign
Salem, Massachusetts 19-)-,z
TO THE BUILDING INSPECTOR:
The undersigned hereby applies for a permit to_Erect, _v Alter,_Repair
a sign on the following described building:
Location and No. ��� �f /fG o�r/� fSV(f. Zoning/District /� Z
Name of Property Owner
Name of Sign Owner
Address
If Owner is a corporate body, name of responsible officer
Name of Licensed Sign Erector f,7n 4--
Address 3� y �j�C/1!? U/ Salem License No. 0 3 f3 GJly�/
Use of Building: Ist Floor (� 3rd Floor
2nd Floor 4th Floor
Type of Sign: _ Surface, _ Right Angles to Building, V Free Standing
Other (specify) Height:
Sign Materials /g6& 2
Sign Dimensions Z � 7 Sign Area 2-0 SF
Existing Signs: Surface: Sign Area SF
Right Angles: Sign Area r SF
Free Standing: Sign Area 2-1 SF
Other: Sign Area SF
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Signs to be Removed: Type Sign Area 3 X :7 SF
Frontage: Building FT Prop FT
Signature of O ner
Signature of Ow u onzed Representative
Address
Estimated Cost Telephone — 'fyGj - 6yJf�
of New Work $
Signature of Property Owner
APPROVALS: ( �
lJ( W
Salem Plannepartme Superintendent of Streets Historical Commission
ON REVERSE SIDE PLEASE SHOW SIGN SIZE, COLOR, LOCATION; LOCATION OF OTHER SIGNS AND BUILDING
ENTRANCE.
9084
1, PULEO'S DAIRY
376 HIGHLAND AVE. PH. 508-744-MILK
SALEM, MA 0
DATE
53-7228/2113
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376 Highland Avenue
Puleo's Iee Cream
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Salem, t'.asszc�,usetts
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applies for a -,err..it ="-- _ ^lt _. ecair
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=cnincj0istrict 6Z
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;are cc Prccerty Owner
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C.: c: en Owner
101 111040, 1002 !15 F 111t,00
address )
body nzs,e of -esnonsible officer
! ; n Her is a ccrperate y
,;ane cf Licensed Sicn =rector Sale
oLicense NO.
'.ddress� .tddLtr1 /�
3rd_F1oor
Jse of Building: ! st Floor 4ch Floor
Znd Floor
Rich: Angles :o cuildind,
Free Standing ,
Type of Sian: ✓Surface,
Other (specify) Heicht•
Sicn ttaterials
e �✓ o C
Sian Area SF
Sicn Oinensians ( i%P< «
Sign Area SF
-xisting Sians : Surface: Sign Area SF
Richt Angles: ian Area SF
Free-Standing f v.' $ian Area SF
other
$Ian Area SF
Signs to be Removed: Type
D /f/ �_
FT Property FT
Frontage: Building
Name and Address of Signature of Own rr..4
Insurance Company:
Signature of C-v+Hers Authorized Representative
Address
Estimated Cost Telephone
of t;ew 'work
APPR LS: Signature of Property Owner
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376 HIGHLAND AVENUE
SALEM.MA 01970
(5081744-MILK
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