131 BOSTON STREET - SIGN PERMIT (2) 131 Boston Street
Beach Veterinary Clinic IMMMM9
PERMIT MUST BE OBTAINED B;cO-� ZEGINNING W3RK
APPLICATION I.1UST BE SUBMITTED IN DUPLICATE , ONE SET TO BE FILED WITH THE
PLANNING DEPARTI)ENT, AND ONE SEI (BEARING THE APPROVAL OF THE PLANNING
DEPARTMENT) TO BE FILED WITH THE SUILDIIIG INSPECTOR.
` co�rc, Location, Ownership, and Detail Must be Correct , Complete
arid Legible. Separate .A.pplication Required for Every Sign.
Application for Permit to Erect a Sign
''«•:YM1t PD
Salem, 'Massachusetts / 19 9,P.,
TO THE BUILDING INSPECTOR:
The undersicned hereby applies for a permit to jZErect, — Alter, _ Repair
a sign on the following described building:
Location and No.J/_L�j�CT�ii/J� L9�/�/ A�Zoning/District
Name of Property Owner
Name of Sign Owner -�ZhR y
dba. dff6fz� Il i�ao�
Addres's
If Owner is a corporate body name of responsible officer
Name of Licensed Sign ,Erector �J)ok /Y)ugsc
Salem �3�
Address 1y AriBif S'i U16P?OM MI 0/9 " _License No.
Use of Building: list Floor ✓' 3rd-Floor
2nd Floor lith Floor
Right Angles to Building, Free Standing,
Type of Sign; iq-zsurface,
Other (specify) Height:
Sign Materials. A 11191 iWDf wa✓a
tiI Sign Area
Sign Dihensions' �l� 33 X 10 S- 3
Existing Signs : Sur/ace: q,3 Sign Area J 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 ate/ FT Property FT
/.Su dL —
Name and Address of Signature of Owner
Insurance Company:
S Signature of Owners Authorize epresentative
Z9) /Y)
f Address `1 4 nRB.? 97
Estimat d Cost
of New Worlll 06_ Telephone
APPROVALS: Signature of Property Owner �. Q2'
"ty"' Saler Planning Department Superintencent or St ets Historica ommissior
I _ T..
KAI
t 1,
40 ,
f
y2
4
7\ O�(� aw
'G (�vjlaAc.
Q O �—
�C i I L1 LJ I o
n 3 . L—Jnn n �
0 ISL—J—LJJ
T
T
Q
W
745
DONALD F. MORSE, JR. r
24 ARBOR ST.
0L1
j WENHAM, MA 01984 i. L'�^ /3 197/=•—(� 53-275/117
PAY TO TH / /J
� r/'1 o y„V
7`
\ DOLLARS
Beverly,P�ational Bank
2kMe
perlly, Ma(!l,,pp[[//�/aetta01915
1:01 & 30276 1: L0523763,1106 0745