400 HIGHLAND AVENUE - SIGN PERMIT (21) 400 Highland Avenue
Salem Women's Associates
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APPLICATION FOR PERMIT TO ERECT A SIGN
9 Salem, Massachusetts �� Z�_ 19_
PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
KrMAV-2 �M4
TO THE BUILDING INSPECTOR:
Tne undersigned hereby applies for a parmit to Erect,
Alter, Repair a sign on the following described
building, —
Location * A-L / Zoning/District
Name of Property Owner pp
Name of Sign owner 64 /
Address
If Owner is a corporation, name of responsible Officer 1
Pik<Name of L1ic�e"nsleld (Sign (Erector A64111b 76rMn
Address r��UG r(If �1tUA�dil'/ License No. >L�
Use of Building: 1st Floor 3rd Floor
2nd Floor 4th Floor
Type of Sign: ✓ Surface Right Angles to Building
N (+
n✓Free Standing Other ( ) Height:
/ U
Sign Materials : l7{tw, �dL`t,J,�,t.� - 4,z?L �ctw
Sign Dimensions : JC.t'i 61lCc 6 f lam- Sign Area SF
Existing Signs : Surface: �jl7YP/ Sign Area SF
Right Angles : Sign Area SF
Free-Standing: Sign Area SF
Other: Sign Area SF
Signs to be removed: Type �eH(i Sign Area SF
Frontage: Building y� L«� FT Property FT
Signature of. Owner
Name & Address of Address
Insurance Company:
�( Telephone
Estimated Cost of New Work:
APPROVALS .
3466
® 278 HIGHLAND AVENUE
SALEM,MA 07870
(978)740-9400 53-179/113
CO PORATION DATE 10- �- o
PAY / 1
TO J
ORDER OF �
ORDER /^
Of
DOLLARS 8
EASTERN BANK
270 UNION STREET y/
LYNN,MA
-L 01901-1380
FOR W", 4"J
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WOMEN'S2.PLT 10/21/98 1:42:16 PM Scale: 1:62.50 H: 306.512 L: 624.978 in`
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MU&..IV mM sed fa`ow exduii.uu d is forbiddra to be uM by arty other Wsan
EMBER Wets pion Nntten approwl u received frau Acme Sign Cuyomtion All rights reawed.
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