176 ESSEX STREET - SIGN PERMIT 176 Essex St.
Polonus
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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.
rO� Location, Ownership and Detail Must be Correct, Complete and Legible. Separate
Application Required for Every Sign.
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Application for Permit to Erect a Sign
Salem, Massachusetts o? Do/
TO THE BUILDING INSPECTOR:
The undersigned hereby-applies for a permit to_Erect,_Alter, _Repair
a sign on the following described building:
Location and No. J 76 t-CSFe� ,S 1 SALEM Zoning/District
Name of Property Owner I L I S� J M PLACE- UL-L,
Name of Sign Owner UT ?P ` F ( P�S 0 I w P �-W KOz
Address I7� ESSQ✓j ST SLEL NA vJ1 '1 17V
If Owner is a corporate body, name of responsible officer
Name of Licensed Sign Erector L►y�11ryn/ T 0 I �I ( I L T L EO ��-
Address) MOO \gnj U� ��Ot �T LY�((Y Salem License No. '
Use of Building: Ist Floor 3rd Floor
2nd
/Floor 4th Floor
Type of Sign: j` Surface, _ Right Angles to Building, _Free Standing
I_Other((s/specify) Height: —La
Sign Materials �Lt1 I c,
Sign Dimensions I I K 10 , Sign Area 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: Buil ding /� FT Property FT
Signature of Owner
Signature of Owner's Authorized Representative
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Address
Estimated Cost I Telephone
of New Work S 00
Signature of Property Owne�4p
Lem PI nning Department Superintendent of Streets Historical Commission
'J REVERSE 510E PLEASE SHOW SIGN SIZE, COLOR, LOCATION; LOCATION OF OTHER SIGNS AND BUILDING
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PLAN OF LOT
No.................................
SHOW SIGN SIZE, COLOR AND LOCATION ON BUILDING;
APPLICATION FOR PERMIT FOR Show Location of Present Structure LOCATION OF OTHER SIGNS AND BUILDING ENTRANCE
ALTERATIONS, REPAIRS AND and Signs
DEMOLITIONS
See attached plan.
CLASS BUILDING
:
LOCATION -
_.............ward......................
Cd
I. .t].Owner.......................................................................... •
U)
.0 COet.............................................................................. ;
w CONDTI'IONS
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...................................................................._............... .....
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Permit
- - - -- -Permit Granted
............ 19..........
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