7 REAR POND STREET - SIGN PERMIT L
7 Rear Pond Street
North Shore Small Engine Service
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 (aEi!) LUG THE APPROVAL OF THE PLANNING
DEPARTMENT) TO BE FILED WITH THE BUILDING INSPECTOR.
,e yµ.coNoril�'e Location, Ownership, and Detail Must be Correct, Complete
and Legible. Separate Application Required for Every Sign.
" Application for Permit to Erect a Sign
��oINME ppv y
Salem, Massachusetts
TO THE GUILOIiIG INSPECTOR:
The undersi ned Inereby applies for a permit toErect, _ Alter , Repair
a sign on the following described/ building:
Location and Mo. '�P,Foit � DirN LST (� honing/District)
Name of Property Owner L-,.-m •n_� R!ac �AA u • `�'-,- cz.,4-
u
Name of Sign Owner '7-0A
Address /,/�,/ p�/i�ry T 970
If Owner is a corporate body name of responsible officer
Name of Licensed Sign Erector
Salem
Address License No.
Use of Building: 1st Floor 10j//1 3rd Floor
/2nd Floor 4th 'Floor
Type of Sign: v Surface, _ Right Angles to Building, Free Standing,
Other (specify) Height:
Sign Materials (l �z+ fzY t
Sign Dimensions Z} + X k+ Sign Area SF
Existing Signs: Surface: Sign Area SF
Right Angles: Sign Area SF
Free-Standing Sign Area Si
Other Sign Area SF
Signs to be Removed: Type Sign Area SF
Frontage: Building raj N arm FT Property FT
(Signature of Owne?AuLtho
Signature of Own rized Representative
4?i T mutts ice' l��+ 5 f
Estimated Co
ob Address 7 EdC'D S- 7- S'/4LZ W1 W11
of New Work Telephone S-6 74S- G FS 70
APPROVALS: Signature of Property Owner
64 rk
1QUS I�t
Salem 11 anning Department Superintenoent of St-.:ets Historical Commission
ON REVERSE PLEASE SHOW SIGN SIZE, COLOR, LOCATION; LOCATION OF OTHER SIGNS AND
BUILDING ENTRANCE.
No. .............................. PLAN OF LOT
APPLICATI N FOR PERMIT FOR Show Location of Prescnt Structuro SHOW SIGN SIZE, COLOR AND LOCATION ON BUILDING;
ALTERATIONS, REPAIRS AND and Signs LOCATION OF OTHER SIGNS AND BUILDING ENTRANCE
DEMOLITIONS
' ................................................CLASS BUILDING
LQCATION
,
No..........................................:....... .. ..................... ;
.......................................-.............Ward...................... ..
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Cost....................... ...................................................... �:.
I C9NDITIONS
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Permit Granted �j3 t t • i�
.................................................................. 19..........
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DATE FILED rah Type: New
Expiration Date ` �� ❑ Renewal, no change
Number 97-221 ❑ Renewal with change
In conformity with the provisions of Chapter one hundred and ten, Section five of the Massachusetts General
Laws, a ame ded, the undersigned hereby declare(s) that a business is conducted under the title of:
at je. C
type of business ,2 /jf-r ?S Ahs ��'ir a�� �nn2s—
by the following named person(s): (Include corporate name and title if corporate officer)
Full Name Residence
/
i
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5- !�
----- -�9 -------------- -----------------------------------------------------
I e above named person(s) personally appeared before me and made an
oath tha the foregoing statement is true.
----------JOM4r1'kkZ_t ------------ -----------------------------------------------------
CITY CLERK Notary Public
(seal)
Date Commission Expires
Identification Presented
State Tax I.D. # S.S. #
Inavailable)
In accordance with the provision of Chapter 337 of the Acts of 1985 and Chapter 110, Section 5, of Mass.
General Laws, business certificates shall be in effect for four(4) years from the date of issue and shall be
renewed each four years thereafter. A statement under oath must be filed with the town clerk upon
discontinuing, retiring, or withdrawing from such business or partnership.
Copies of such certificates shall be available at the address at which such business is conducted and shall be
furnished on request during regular business hours to any person who has purchased goods or services from
such business.
violations are subiect to a fine of not more than three hundred dollars (5300.00) for each month during which
A-br+h whore 5r-A::x)
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19_7, +3-179/117
�M PAY
1TOTHE
ORDER I,
ORDEP OF 1 1
I
� a DOLLARS,
Eastern Bank
I 210 UNION STREET
j LYNN,MA5Sp Usmso1Y01-11%1
FOR_ �e �✓r � Q t/ Oa
1:0 1 1 30 1 798 : 60 00 25 i 5911'
� s -
ec -1 ,n y he Lc-)ee-K, Z
iS c�r-rr .�-r
need an
7�ISS
REQ
AUG 2 07 1097
Salem Planning Dept.