155 DERBY STREET - SIGN PERMIT 155 Derby St.
Witch Way Gifts
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ter^ ` — .1ter , _ Repair
. �winc Jul:,
Prnoert ; '.rner
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a,-..e cr Siu_n Owner �e%,-
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.oras=_
_..ner is a caroorac_ =7 - ^f ras.onsioie •..'fi --
':ame of Licensed Sian ErIc'-Cr tj���
SaIean
License .:o.
ddrecs �r� `,+�
rd
:5e t r Sur iding: St orSTe.1c
Znd = ._r
V Ri ht -kits :o s..ildinc , Free Stand in-7
�ypc of Sign: Surr:c_ . 9 —
Other .:ec+ fv) Height : 0,5
Sign Materiais 00
I S
Sign Dimensions Ll XS Sian Area �O
77S
iqn Area _
Existing Signs : Surface: Sion Area S
Right •Hare_ : 5
Free-- :zr.c ' '" Sian ian Area
Other
SS
S
signs :o be Rcmoveg: -.oc
Sion Area
HSIF
rgncage: Building FT 'rooert•r/
Signature of Owner /
Signature of Owners Auchorizeg Reoresentative
=ddress
-:timateg Cost m
:f t:ew horx x� eieonone
APPROVALS: Signature of Prooerty Cwner ,
Saiem r an r^ v oar. _^c Suoerrntengenc or �t` is t
real nm llsslc
�N REVERSE PLEA _:SON 5 : :,?t SIZE. COLOR. -_CATION; ' OCATION OF OTHER SIGNS AND
-UILDING ENTRANCE.
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Western Surety Company
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R LICENSE AND PERMIT BOND
For County, City,Town or Village Only-Not Valid for Bonds Required by the State. Not Valid for Contract,
` Performance,Maintenance, Subdivision,Agent to Sell Hunting and Fishing Licenses or Utility Guarantee Bond.
0
KNOW ALL MEN BY THESE PRESENTS: BOND No. L&P- 60636211
Thatwe, _ Peter & Mary Sholds d/b/a Witchway Gifts
of the City of Sal Pm , State of Massechusatts as Principal,
and WESTERN SURETY COMPANY, a Corporation duly licensed to do business in the State
of Massachusetts , as Surety, are held and firmly bound unto the
Ci tv of Salem State of Massarhncattc ,Obligee, in the amount
(Valid only when a County, City,Town or Village is named as Obligee)
of One thousand DOLLARS ($ 1,000.00 )
(NOT VALID FOR MORE THAN 825,000)
lawful money of the United States, to be paid to the said Obligee, for which payment well and truly
to be made, we bind ourselves and our legal representatives, jointly and severally.
THE CONDITION OF THIS OBLIGATION IS SUCH, That whereas, the Principal has been
licensed for sign permit
by the Obligee.
NOW THEREFORE, if the Principal shall faithfully perform the duties and comply with the laws and
ordinances (including all amendments), pertaining to the license or permit, then thislg)ligation to be void,
otherwise in full force and effect for a period commencing on the Gtr day of
J UIYY ^; y5
19_, and ending on the day
of. u t Y. 2 i4wa 19_, unless renewed by continuation certificate.
-This bond may b'efCrminated at any time by the Surety upon sending notice in writing to the Obligee and to
tha,Principal, in the Obligee or at such other address as the Surety deems reasonable, and at the expira-
tion of thirjygfi�e ( _tays from the mailing of notice or as soon thereafter as permitted by applicable law,
whichever is I fter.• tbond shall terminate and the Surety shall be relieved from any liability for any subsequent
acts:ortrmsr�pq�1Z11e ]Principal.
D t12th day of Jul 19 9o.
,
Principal
Principal
Countersi141V
WESTERN Y COMPANY
By By
Resid nt Agent President
ACKNOWLEDGMENT OF SU TY
STATE OF SOUTH DAKOTA l ss (Corporate Officer)
County of Minnehaha f
On this 12th day of July 19.K-,before me,the undersigned officer,personally
appeared Joe P.Kirby ,who acknowledged himself to be the aforesaid officer of WESTERN
SURETY COMPANY,a corporation,and that he as such officer,being authorized so to do,executed the foregoing
instrument for the purpose therein contained,by signing the name of the corporation by himself as such officer. ;
IN WITNESS WHEREOF, I have hereunto set my hand and official seal. ;
+ ,- +
S. BARNES is _ AAA +
NOTARY AXOTA ^ p Notary Public, South Dakota ;
aiAL 9OTIRDAaOTA 5 � .0
My Commission Expires 1-2249 Western Surety Company
LForrn 849—9.92 1-605-336-0850 '
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ACKNOWLEDGMENT OF PRINCIPAL
1A II
STATE OF (Individual or Partners) ;
; I"t �����-�,���'S
J �ss
County of
On this Ila day of 193-5,before me personally appeared
1Ter /a S u es Fel tot IVC c c to L s
e
e
known to'-.me rtorl a the, individual described in and who executed the foregoing instrument and
s .
acknowledged to me that—be_ executed the same.
My commission expires
i
r
In J
?S Notary Public
ACKNOWLEDGMENT OF PRINCIPAL
(Corporate Officer)
STATE OF
�
County of ss
On this day of 19_,before me,
personally appeared who acknowledged himself to be the
of , a corporation,
and that he as such officer being authorized so to do, executed the foregoing instrument for the pur-
poses therein contained by signing the name of the corporation by himself as such officer.
My commission expires
19_
Notary Public
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