293 JEFFERSON AVENUE - SIGN PERMIT (2) z73 T�sc1n flhe
The Consignery
I
— 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.
Location, Ownership and Detail Must be Correct, Complete and Legible. Separate
Application Required for Every Sign.
Application for Permit to Erect a Sign
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:
i
Location and No. Zoning/District
Name of Property Owner N/1&,- a �6/1 Gki Ili it i491) r
Y. —5 Name of Sign Owner / Cy ���( &VI
Address Ave— !7 Iva /Igy., llvl
If Owner is a corporate body, name of responsible officer
Name of Licensed Sign Erector
Address 2L /y 1 ; f� �' Salem License No.
Use of Building: Ist Floor6')'Is'i, h lr„e„/ Jl6/,t) 3rd Floor /U4
2nd Floor 4th Floor it/-1
Type of Sign: Surface, _ Right Angles to Building, _Free Standing
,�✓_Other (specify) Height:
Sign Materials
Sign Dimensions c�7 } Sign Area `f 0 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: Typed ce S)3sign Area SF
Frontage: Building FT Property FT
Signature of Owner 7�i-e,
Signature of Owner's Authorized Representative
Address 17 Cd.ti4 5 -;'1 ,
Estimated Cost Telephone 2f/ 0 -.6-q`ay
of New Work $ 6 OU
Signature of Property Owner t K 6, r v
6AROVALS:
P ning Department Superintendent of Streets Historical Commission
REVERSE SIDE PLEASE SHOW SIGN SIZE, COLOR, LOCATION; LOCATION OF OTHER SIGNS AND BUILDING
i RANrl:
NONE
SIGN*A*RAMA
75 HIGH STREET•DANVERS, MA 01923
(976)774-0936 FAX (97B)774-9956
�r
4R
w A.
Consignery
nery
Am
{4 _
to -
t ..
L
r
53-7011/2119
DATE Z
PAY
G
ORDER OF
DOLLARS B
i 1
_ Equ�table
Tve�� YNNM SEiT501B01
uk�e Bark
FORd"c-5cr� /b, zL�
U - 1: 2113701181: 0 5 200 149 2n'