111 LAFAYETTE STREET - SIGN PERMIT 111 Lafayette Street
Balloon King
IT ST B. c B TAILED
?PLICATION GUST =-- (z —MI T T7-D ! 11 OU?LICA -?:E SE' TO c= FILES 411TH 714.2 'J)0
, ,;0 ONE SET EEiRI !;_ . -.- =..%PROC.�L OF FLAL:\11: A rx>
_E?ART;tE!;T) J SE FILED WIT''. -n- :JILD1 :; CPECTD3. O SF >
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Lcca_ icn , rershi7 , a- __. =st be Correct . Cc-plete
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�n aiig �_:glule. ePE,-Fc'. _. li i..c : 1 �CClred for �•Jery f1Cn•
• ��
�PPlicaLion Tor .rI i i1L .O CcCL a Sign
Salem, Y.asszchusetts 1910
TO THE DUILDING I!ISPECTOR: /
err..it to ✓ Erect, Alter, Repair
The undersicned `ereby applies for a ? —
a sicn on t`•e fcllcwing described building:
=oning/District Q�
Location and I;o. 111 j A
!:arae of Property Owner LiMtolw 14oyeL A33
!:arae of Sign Owner J T
1 �ia (G ' moi. ^ 1
Address ( I s
if Owner is a corporate body name of res,onsibAle officer
f , 7M;(,�i�t�0• �A��)� Cot* L•Q
N /_
Name of Licensed Sign ,Erector
License No. 017
Address
3rd-Floor
Use of Building: 1st Floor 4th Floor
2nd Floor
L Surface Rich, Anoles to Building, Free Standing ,
Type of S ion:
_ Other (speci °y) Heic;^t
,
Wt 1
Si,cn materials. W
Sian Area SF
Sign Dihensions
_•gn Area __ _ SF
Existing Signs : Surface: Sign Area /'--TSF
Richt Angles: SF
g Area
Free-Standing Si
Sign Area SF
Other
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Signs to be Removed: Type Sian Area SF
((p FT Property ( '� � FT
Frontage: Building
�Si nature of Owner M' �A �`Aw+�� fna�'rf«�( ta•P6.
Name and Address of 9
Insurance Company:
Signature of Owners Authorized Representative
�jw, 4.. I/ 11`IiMF f
Address
e a� cT �ey4+ rlr
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Estimated Cost y�v
Telephone
of New Work_
AP OVA signature of Property Owner__
+ • arnr�cal or..niss ion
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EXPLANATION AMOUNT 53-235/113
RICHARD S. EPSTEIN
D/B/A RICHARD SCOTT SIGNS 905
P.O.BOX 534
REVERE, MA 02151
PAY
AM UNT x X L DOLLARS CHECK
DATE TO THE ORDER OF DESCRIPTION CHECK AMOUNT
NUMBER
BayeankI Middlesex
MaasaclUsells �-
ii'000905u' 1:0 & & 3023571: LLB 0150111'
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