4 BOSTON STREET - SIGN PERMIT 4 Boston Street
Deb's Diner
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.
�OPO1 � Location, Ownership and Detail Must be Correct, Complete and Legible. Separate
_ Application Required for Every Sign.
Application for Permit to Erect a Sign
'a
Salem, Massachusetts_`4a) L
TO THE BUILDING INSPECTOR:
The undersigned hereby applies for a permit to ZErect, _Alter, _Repair
/1 aII sign on the following described building:
( ' Location and No. ��`� �} X11Q(�S Zoning/District C-C'cc)
S �ame of Property Owner \) JOYCA S\\M- -
Name of Sign Owner
Address CA 0)97D
If Owner is a corporate body, name of responsible officer
Name of Licensed Sign Erector - wQ-/C" -t -
Address Salem License No. '
Use of Building: Ist Floor re.!Et . 3rd Floor
2nd Floor 4th Floor
Type of Sign: _Surface, _ Right Angles to Building, ree Standing
her (specify) /$j 1-7 , -ly Height:
6I� � fr
Sign Materials i /,C. v ri V i Iq
�
� � Sign Dimensions r3 y 3 Sign Area
QUIt,L 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: Building _FT Prop FT
c '
ignature of Owner 7
Signature of Own 's Authorized Representative
Address
Estimated Cost Telephone
of New Work $"-500
Signature of Property Owner
ja41emn'n4AigD
artment Superintendent of Streets Historical Commission
ON REVERSE SIDE PLEASE SHOW SIGN SIZE, COLOR, LOCATION; LOCATION OF OTHER SIGNS AND BUILDING
eaa.w._. L�TDnnirc
rN70.7, ..... ................. PLAN OF LOT
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................................................................................
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......................................-.............Ward...................... -
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• p,Owner..........................................................................
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.4 Cost............................ ..............................................
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CONDITIONS
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Permit Granted
.................................................................. 19..........
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77
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OnINIPMER-1 111