113 REAR BOSTON STREET - SIGN PERMIT iia reer aos6„ Si�-re4
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0113 BOSTON STREET 295-07
COMMONWEALTH OF MASSACHUSETTS
CITY OF SALEM
GIS#: 6732
Map: 16
Blo
Lot:
0138-201 -- SIGN PERMIT
ot:
Permit: Sign
Category: SIGN
Permit# 295-07 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2007-000436
Est.Cost: $0.00 Contractor: License: Expires
Fee Charged:$0.00 OWNER
Balance Due:$.00 Owner: Don Michaud
#of Fixtures Applicant: Don Michaud
DigSafe# AT. 0113 BOSTON STREET
UseGroup
ConstClass
ISSUED ON: 11-Oct-2006 AMENDED ON: EXPIRES ON: 11-Apr-2007
TO PERFORM THE FOLLOWING WORK.
(32 SQUARE FEET) FOR WALL SIGN
THIS PERMIT MAY BE REVOKED BY THE CITY OF S EM ON VI LAI sO -ANY OF
ITS RULES AND REGULATIONS. � �s� 7
Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount.
SIGN REC-2007-000536 11-Oct-06 x $0.00
GwTMS®2006 Des Lauriers Municipal Solutions,Inc.
FF
Permit Number GTv.1-a,-,-
APPLICATION
07APPLICATION FOR PERMIT TO ERECT A SIGN
IZ PERMIT MUST BE OBTAINED BEFORE SIGN IS FABRICATED AND INSTALLEECEIVE
+5={ Location,Ownership and Detail Must be Correct,Complete,and Legible
DEPT.OF PLANNING&
COMMUNITY DEVELOPMENT
City of SAL EK MASSACHUSECIS
TO THE BUILDING INSPECTOR:
The undersigned hereby applies for a pemlit to �<- Erect_Alter Repair a sign on the following described buildings:
Location and No. I l Q Toe~ ST. Zoning/District
Name of Property Owner (2 --L.
Name of Sign Owner \ o w �"` c_Lc-�V Address
If Owner is a corporate body,name of responsible officer
Name of Licensed Sign Erector Salem License No.
Address
Use of Building: I-,Floor v-!a 3'd Floor
2nd Floor 4d'Floor
Frontage: Building linear It Property C- ~ linear ft
Type of Sign Proposed: ® Surface Right Angles to Building ❑ Free Standing Awning
Other(specify)
Proposed Sign Materials �2�-=:J'1- c',,�
Proposed Sign Dimensions A' I '� Sign Areay sq It
Existing Signs: Surface: Sign Area sq ft
Right Angles: Sign Area sq ft
Free Standing: Sign Area sq ft
Other: Sign Area sq k
Signs to be Removed: Type Sign Ae sq ft
Signature of Owner
Signature of Owner's Authorized Representative
Estimated Cost of Net Work
Address Z R �v� �ct;_ �`f\o--v b l (,•pG+-c ("��
S z S Telephone
Signature of Property Owner
APPROVALS (Department Use Only):
4VINGCOZW4UNiTy DEVELOPMENT HISTORICAL COMMISSION $L/IL.()t G INSPECTOR
City of Salem Department of Planning & Community Development
Check/Cash Receipt and Tracking Form
Please complete lbrm and make two copies.
Date Received Qcf 3 2006
Amount Received 0 0
Form of Payment Check FIcash
CHECK PAYMENTS: /f6
write check number
CASH PAYMENTS:
write client initials
Sign Permit Application Fee
Q conservation commission Fee
Payment received for Q panning Board Fee
what service?
0 Old Town Hall Rental Fee
a other
Name of staff person �' _
receiving payment l fd "I L4
Additional Notes
Fj�E
TOWN DOOR AND WINDOW 53-179/113 116
2 EDGEMERE RD. O60IXIMN
ARBLEHEAD, MA 01945
DATE 1Q/I lorYTO
PAY'o • -1 B,} ,�� 4__....._..__
0.
� DOLLARS
Eastern Bank 9,2 .r
MARREHE . oj9
.mWnF.com
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MEMO
1:0 1 13 17 81: 06 0036606611' 0 i i6 !/
Original Check and Form: DPCD Finance
Copy 1: Client
Copy 2: Application File
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