116 NORTH STREET - SIGN PERMIT (2) 116 North Street
New Heads on the Block
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.
CZXD Location, Ownership and Detail Must be Correct, Complete and Legible. Separate
Application Required for Every Sign. a
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Application for Permit to Erect a Sign
Salem, Massachusetts 19
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.(\lo� _ k }�-�casSsx-n Zoning/District
Name of Property Owner -Re L-T l
Name of Sign Owner x cl�l )AQ g- . 2I'L
Address -
If Owner is a corporate body, name of responsible officer
Name of Licensed Sign ErectoreW
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Address cok4 �l�. J>r1 Salem License No. 0.5"17? 0-15-
Use of Building: Ist Floor. 'j( 3rd Floor
2nd Floor 4th Floor
Type of Sign: Surface, _Right Angles to Building, _Free Standing
Other (specify) Height:
Sign Materials
Sign Dimensions Xk•39 Sign Area SF
Existing Signs: Surface: Sign Area 23 SF
Right Angles: Sign Area SF
Free Standing: Sign Area SF
Other: Sign Area SF
Signs to be Removed: Type Sign Area SF
Frontage:. Building 1,4j FT Property rr II FT
Signature of Owner l(
Signature of Owner's Authorized Representative
Address d3S lcl�v�_ P.St SALt✓w(
Estimated Cost Telephone 9 7 &-7'-I `I-I Q I-)
of New Work $
Signature of Property Owner . { (art a ,
APPROVALS-
696
PPROVALS69 I 1
Salem Planning Departme Superintendent of Streets Historical Commission
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