116 LAFAYETTE STREET - SIGN PERMITr116 Lafayette Street
Lafayette Quick-Mart
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Salem, a. 1990
TO THE 3i01LDl;4G 1 !;SPEC70R:
for a -it to ect , Alter , _ Repair
The unders1cned hereby applies —
i cn on t.`.e
cllc..4ina described build -z :
�% Zon i nai D i s tr i ct GOS1nlES�
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Location and No. o Lha Apt fk _SAI,F.M
!;ame of Property
Owner lo8
I:ame of Sign Owner p 22 V-M TQ,:&&
Address filo LAMA ET SALEM
If Owner is a corporate body nave of responsible offiSerNIGIReti A • Q�f���
Nane of Licensed Sign .Erectcr Salem
Address OUDN G
c` ( pAir%i► License No.
A'
1st Floor
�/ 3rd-Floor
Use of °uilding: lth Floor
2nd Floor
��
Riot Angles to Building , Free Standinc
Type of Sion: Surface,
OtherHeight•
(specify)
Sign Materials H14je0i A S
l� X 1} � I SSC N Sian Area /d
Sign Dir-,ensions
S Sign Area
Existing Signs : urface: Sign Area
Richt Angles: Sign Area
Free-Standino Sign Area
Other
Signs to be Removed: Type
Sign Area
�yfpy;,,w- �r 1:'� FT Property
Frontage: °uilding '
Name and ddress of Signature of Owner/ V` �- �y
Insurance Ccmpany:
Signature o/f`O,aners Authorized Representative
9/
4—
Address
Estimated C tpp,
of New
Telephone 7yS -
APPROVA S: Signature of Property Owner
PLAN 0rLOT
LIC AT10N FOR PERhA. 1 FOR Show Location of Prescne SIfUCIUra SHOW SIGN SIZE , COLOR !11111 LOCA-1Iull tlll ISIIII UIIIG ; �
TERATIONS, REPAIRS AND and Signs LOCATIO14 OF OTHER SIGHS AIID DNII.DIIIG EVRNICE
DEMOLITIONS
...............................CLASS BUILDING
LOCATION
_.............Ward.....................
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N
CONDITIONS R _ _ - - - - - - -- - - - - -'
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Pcrniit Crnnlcd
17..........
DATE INVOICE AMOUNT 53-276
113
ATLANTIC SIGN WORKS, INC. 4475
28 GOODHUE STREET
SALEM, MA. 01970
(617)745-0058-922-5318
`- `-
PA OLLARS
i1NE GROSS INCOME SOC. STATE NET AMOUNT
TIME DATE TO THE ORDER OF AMOUNT TAX SEC.
1 y
The B vaiy National Bank
SereNy.MafY[liufnlf u1Y15
o'00447Sus 1:011302768I: 10022314111
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