209 ESSEX STREET - SIGN PERMIT 209R Essex St.
Children's Museum
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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.
Location, Ownership and,Detail Must be Correct, Complete and Legible. Separate
Application Required for Every Sign.
gApplication for Permit to Erect a Sign
Salem, Massachusetts 19_
TO THE BUILDING INSPECTOR:
The undersigned hereby-applies for a permit to LErect,_Alter,_Repair
a sign on the following described building:
Location and No.2Q� �fa " A. Zoning/District
Name of Property Owner OIf11Too YKNIif PC • L Lj�J�lfrb Tc")./
Name of Sign Owner� �Q
Address I)97�d
If Owner is a corporate body, name of responsible officer' � S
}
Name of Licensed Sign Erector
tL
Address �00'0( Salem License No. 7 000O 723
Use of Building: Ist Floo' c'a (Noi 3rd Floor
2nd Floor 4th Floor
Type of Sign: _Surface, _ Right Angles to Building, _Free Standing
Other(specify) Height:
Sign Materials_ 'Ngp—S
Sign Dimensions -2i (4 �f XI � ) Sign Area ) : X��� �SF
Existing Signs: Surface: Sign Area l / SF
Right Angles: Sign Area 3 I. i' SF
Free Standing: Sign Area SF
Other: Sign Area SF
Signs to be Removed: Type Sign Area SF
Frontage: Building �jo FT Prope�rtyn Ss on D _FT
Signature of Owner I/d
Signatur f is A t
711 horizeR.Apresentative
a
Address
Estimated Cost Ou Telephoned 7 41 jq� ( (
/�,�
of New Work $ lllJ0
YAignature of Property Owner
5A ROVALS:E
a m Panning Department Superintendent of Streets Historical Commission
JN REVERSE SIDE PLEASE SHOW SIGN SIZE, COLOR, LOCATION; LOCATION OF OTHER SIGNS AND BUILDING
NTR 4Nr'F
No................................. PLAN OF LOT
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APPLICATION FOR PERMIT FOR Show Location of Present Structure SHOW SIGN SIZE, COLOR AND LOCATION ON BUILDING;
ALTERATIONS, REPAIRS AND and Signs LOCATION OF OTHER SIGNS AND BUILDING ENTRANCE
DEMOLITIONS
See attached plan.
..................CLASS BUILDING
LOCATION - - -
No......................_......................................................
. ..ward.. .
IM Owner.. ..................... ........................_._.._... .....
�
ACoat........................................._.._......_...................... � `� --•.l •. .... ;-----{
COPIDITIONS
1t «yy .. ............. - ... .. ,.. ,. .. . . . . .. . . . . ... - - - • + -- - - ••--
p .•..._..................................................................... _` _.. . ._ .. ... . _ •... ..• .. _
•
................................._.._.........._.._......•...-....•............... ... ♦_ •;. •.. 1 •: ........
_ 1
......................._....................................................... ;
........................
Permit Granted
.................................................................. 19.........
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VIo� A'�ot�
�SIAN�
City of Salem Department of Planning & Community Development
ChecVCash Receipt and Tracking Form
Please complete form and make two copies.
Date Received
Amount Received
Form of Payment Check ❑ cash
CHECK PAYMENTS:
write check number
CASH PAYMENTS:
write client initials
Sign Permit Application Fee
OConservation Commission Fee
Payment received for Planning Board Fee
what service?
0 Old Town Hall Rental Fee
0 Other
Name of staff person
receiving payment
Additional Notes
F --
PETER A. SHOLDS 0 0 21
,VARY FRANCES SHOWS
J a `i T PH 9 t, A,-J'.I ..-ie
_ .i. t iiiit
:1 E R I TACT6ANK
'.i lR 'HF C1tAldl1NY
is 2 L 13 7 2 2a44 0 206 009 30 3021
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Original Check and Form: DPCD Finance
Copy 1: Client
Copy 2: Application File