LORING & RAINBOW - SIGN PERMIT Loring & Rainbow
Boys & Girls Club 7
1
Permit Number
UPJ
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
j FILED WITH THE BUILDING INSPECTOR.
i
�O�r�tQ Location, Ownership and Detail Must be Correct, Complete and Legible. Separate
__ Application Required for Every Sign.
z moi ' Application for Permit to Erect a Sign
IS��1MN£
Salem, Massachusetts 19
TO THE BUILDING INSPECTOR:
The undersigned hereby applies for a permit to_Erect,_Alter, _Repair
a sign on the following described building:
Location and No. (-OP-"`)G � QFhtjs °''J Zoning/District
hu-
Name of Property Owner S '1h0S It.^^) G /
- AV-n+
Name of Sign Owner CPO *O-A S��' G tusk
Address 21 G4-h -Yl- S-
If Owner is a corporate body, name of responsible officer F-t A, N r 4A-n-et--
Name of Licensed Sign Erector C RaRTI V F Si 44,.-Ii
Address Lca--,UC -41 C. Salem License No.
Use of Building: Ist Floor 3rd Floor
2nd Floor 4th Floor
Type of Sign: _Surface, _ Right Angles to Building, ✓ Free Standing
_ Other (specify) Height:
Sign Materials uoc� r,
Sign Dimensions S x `j Sign Area SF
Existing Signs: Surface: Sign Area SF
Right Angles: Sign Area SF
Free Standing: Sign Area SF
Other: Sign Area SF
Signs to be Removed: Type Sign Area SF
Frontage: Building FT Property FT
Signature of Owner
Signature of Owner's Authorized Representative
Address 13 ti rF3��d• S�-
Estimated Cost Telephone °t1 rs - 1`Iq-oct I
of New Work $ I i 3aZ>
Signature of Property Owner
APPROVALS:
Sale J nning ent Superintendent of Streets Historical Commission
ON REVERSE SIDE PLEASE SHOW SIGN SIZE, COLOR, LOCATION; LOCATION OF OTHER SIGNS AND BUILDING
ENTRANCE.
L —
STREET SIGN FOR LORING & RAINBOW
ZBOYSIRLS CLUB M
OF GREATER SALEM
at, 127 Ra4ri our ivacc
A Cooperative Effort of the
Boys & Girls Club of Greater Salem, N
Salem Housing Authority &
Salem State College
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