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WASHINGTON/DERBY STREET - SIGN PERMIT Washington/Derby Street Salem Rotary Club Community Events 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 (BEARING THE APPROVAL OF THE PLANNING DEPARTMENT) TO BE FILED WITH THE BUILDING INSPECTOR. CONDI Location, Ownership and Dalad Must be Correct, Complete and Legible. Separate Application Required for Every Sign. Application for Permit to Erect a Sign Salem, Massachusetts J 19 TO THE BUILDING INSPECTOR: The undersigned hereby applies for a permit to jZfrect,_Alter,_Repair a sign on the following described building: �j Location and No. U )r-, -s l I r 7'h 1 I> " Z, ning/District_ 1 Name of Property Owner c 4 Name of Sign Owner v�A,R Com✓ e Address n ( l If Owner is a corporate body, name oof,responsible officer t`�Ub �La� Name of Licensed Sign Erector /v ' C /1 v 1 , [✓� 1 Cu( / Address Salem License No. Use of Building: Ist Floor 3rd Floor 2nd Floor 4th Floor Type of Sign: _Surface, _ Right Angles to Building, ree Standing Other (specify) Height: Sign Materials I.yed - LaAQ(L - LIM Sign Dimensions A A x 7 ji Sign Area ��u(uk S�� I / �� I 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 Sig e oofw s Authorized Rep esentativp-, Address C(�e 0 qe IC w - n h .,le`d Estimated Cost Telephone "'3 34 - C-� of New Work $ ©o_ Q 0 Signature of Property Owner APPROVALS: C Salem PI nn,ng Department9 Superintendent of Streets Historical Commission ON REVERSE SIDE PLEASE SHOW SIGN SIZE, COLOR, LOCATION; LOCATION OF OTHER SIGNS AND BUILDING t ENTRANCE. �v��arQlV�Tq;lQ� 0 f Tz !Community Events] j.--- . 7�11 Q in WATER TIGHT ALUMINUM BULLETIN m BOARD -- TOP HINGE CID LOCKABLE FACE I A — —. f fi SPONSORED BY THE 0 orf NA I Salem Rotary Club �� ;- M � -. �� , - '� = �I �� , i �� ; �� ,' �' i NORTH SHORE SIGN "PI NATION AMOUNT 53-716312113 ONE VILLAGE ROW (�5 LYNNFIELD, MA 01940 J 51 (617)334-2504 PAY AMOUNT OF m DOLLARS CHECK D TE TO THE ORDER OF DESCRIPTIONCHECK AMOUNT 1 NUMBER The Warren Five PEABODY, MASSACHUSETTS 01960 &rakers Wilh Answers, nP ......... - II'0009571)' 1: 2ii37i638i: 169003444n■ t