400 HIGHLAND AVENUE - SIGN PERMIT (7) 400 Highland Avenue
Harbor Medical Group
fMTN
APPLICATION FOR PERMIT TO ERECT A SIGN
Salem, Massachusetts ��I- �y 1 19_
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 IIS N�l�l Zoning/District �y
_ T
Name of Property Owner
Name of Sign Owner �vyyti VGA
Address
If Owner is a corporation, name off responsible Officer i _
y Name of Licensed
{ JSign Erector 1/n&Ky �
�«� `: ' I
Address a7_ �o I I(T��L License No. 1: Z
Use of Building: 1st Floor 3rd Floor
2nd Floor 4th Floor
Type of Sign: /Surface Right Angles to Building
-I -Free Standing Other ( ) Height:
Sign Materials : ��(AAAGy L f a {'Ute
Sign Dimensions : ?CAI 5�� �� Sign Area SF
Existing Signs : Surface: Sign Area SF
Right Angles : Sign Area SF
Free-Standing: Sign Area SF
Other: I Sign' Area SF
Signs to be removed: Type myd Sign Area SF
Frontage: Building 9 «�`� FT Property FT
Signature of OW?ger (tiw� IdVl�nY2
Name & Address of Address
Iurance Company:
Telephone l -Yo -5q D
vl-L`�-YL
Estimated Cost of New Work:
APPROVALS :
Le
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® 3465
278 HIGHLAND AVENUE
SALEM,MA 01970
(978)740-9400 53-179/113
C RPORATION DATE ` � —
PAY
TO THE �=LJ
ORDER O s
W DOLLARS 8
EASTERN BANK
270 UNION STREET
LYNN,
MAA 01901-1380 yI1,P1�
FOR
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MEMBER unWs prior wri"m approval it r Iwd from Arnie 51gn C"p} tlav All rights reserved.
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