292 LAFAYETTE STREET - SIGN PERMIT 2�lz La{��fkca .5-+
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Permit Number
APPLICATION FOR PERMIT TO ERECT A SIGN E C E f V E D
$ NOTE:BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN Is ERECTED
Location, Ownership and Detail Must Be Correct, Complete, and Legible
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Salem, Massachusetts
Date _.N1
To the Building Inspector:
The undersigned hereby applies for a permit to Arect, D Alter, n Repair a sign on the following described buildings:
AddressStreet
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❑ Urban enewal Area nuance Corridor
Z 2 L C>7 C ❑ Historic District u None
Use of Building
77Telephone
%/SA' a r� Svc 2" floor ,r
dress 7.7 Wim,. v' $, cw ✓l/t 3 floorhone 'j$I- SD Z yss 4 floor N-mail „ s" o How many businesses are in the building?
If a corporate body, name ��pp
of responsible officer A Y'"'k C✓.dew M a�{ j4 w-
ndA Building L-- /O' linear feet
Constuction Sup's Lkense No At 1AApplicant's Space(if multi-tenant) NIA linear feet
Address t S� 47tv rn.� M� Property r 440' linear feet
Telephone 3 D- y'{ ' 52-7� Mail Sign Permit to
E-mail I AA ✓A D dN t&q L a c Sign Owner Sign Erector o Other:
Si•n 1
Sign 2 Sign 3
o Surface u Surface o Surface
u Right Angle to Building o Right Angle to Building o Right Angle to Building
,e'Free Standing u Free Standing o Free Standing
u Awning D Awning u Awning
u Portable(A-Frame) o Portable(A-Frame) u Portable(A-Frame)
u Other(specify) o Other(specify) o Other(specify)
Sign
OLSIA n4;iw ials IUB �✓ Awtri Sign Materials Sign Materials
Sign Dimgnsiyn Sign Dimensions Sign Dimensions
S; ti 3x3 we
Sigii Area 1 -7. 3
Sign Area Sign Area
1 s ft ft sq
ft
Sign Height('If free standing) 80 Sign Height(if free standing) Sign Height(if free standing)
Estimated Cost of Net Work
$ 100 - o D
Existing Signs
Type Sign Area To Be Removed? Sign Owner
o Surface _sq it D yes 2rfo
o Right Angle to Building sq ft u yes o no
Free Standing sq it u yes u no Sign O bier's ytttorized Ypres G
u Awning sq it o yes u no
o Other(specify) sq It o yes o no
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Internal Review
Planning&Community Development Department Historical Commission
Building Inspector
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