1 OLDE VILLAGE DRIVE - SIGN PERMIT I Olde Village Drive
Puddle Jumpers, Inc.
Child Care Center
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' Permit Number
PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
APPLICATION MUST BE SUBMITTED IN DUPLICATE, SNE SET TO BE FILED WITH THE
PLANNING DEPARTMENT, AND ONE SET CUA&LUG THE APPROVAL OF THE PLANNING
DEPARTMENT) TO BE FILED WITH THE BUILDING INSPECTOR.
Location, Ownership, and Detail Must be Correct, Complete
and Leoible. Separate Appiication Required for Every Sign.
F Application for Permit to Erect a Sign
Salem, Massachusetts 3 —19 97
TO THE CUILDING I`iSPtCTOR:
The undersigned -ereby applies for a permit to _✓Erect, Alter, Repai
a sign on the fallowing described building:
Location and No. l -o tdI✓ uAq, 1honing/District .Q'Z
Name of Property Owner b l CL \ �]-
Name of Sign Owner -�,&..DZ.0
Address Un/,� Qldc !/,Lly�jc �i2.ric S�IE�y, ///y a/s7o
If Owner is a corporate body name of responsible officer ✓ ALj -!�/L.�c`�y
Name of Licensed Sign Erector Z,_-57Adtt GG ltf�vti S%4 vS /m1 Kn �cf �t t
Address-4/)X77 e;rVST. Salem
w.cic.,/Jlq , / License No.
Use of Building: 1st Floor G' 14 64W,4y¢ 3rd Floor
2nd Floor lv*V&,g2c 4th Floor
Type of Sign: ✓Surface, _ Right Angles to Building, Free Standing
Other (specify) Height:/G..S
S i g n Ma to r i a l s s�Cu�int/Uin 'OX�sG�j/TE711i9rYSC�ENT�Y'/CKE✓t<Jclid��L�/c�/,� ��
Sign Dimensions -41X7�X/2Sign Area 2� Sr
Existing Signs: Surface: Sign Area ga SF
Right Angles: Sign Area SF
- Free-Standing Sign Area Sr
¢ Other Sign Area SF
Signs to be Removed: Type GUOod Sign Area 9 SF
Frontage: Building ?A/ FT Property
-� FT
Signature of Owner
Signature of Ow ers Aut ri ed Reoresentative
Addres ONE Olt /LlfiE�EPir/E /�/�Oaia6
Estimated Costo-
of
ostoof New Work Te (/5 > 7410 -Hy�f ���� Gri)v993fiS
APPROVALS: Signature of Property Own
Salem P anning Department Superintendent or t`�ets storicai Commission
ON REVERSE PLEASE SHOW SIGN SIZE, COLOR, LOCATION; LOCATION OF OTHER SIGNS AND
BUILDING ENTRANCE.
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CHILD CARE CENTER
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EXPLANATION AMOUNT
,! I PUDDLE JUMPERS, INC. S iTr � 1008
1 ONE OLDE VILLAGE DR.
SALEM,MA 01970
J PAY 53-179-113
OF
OUNT
DATE CI` DOLLARS CHECK
TO THE ORDER OF DESCRIPTION CHECK AMOUNT
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NUMBER
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JOSEPH J.DILK, RESIDE T
EASTERN NK RO EMA Y A TREAS ER
LYNN,MASSACHUSETTSA01901-1380 37
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CHILDCARE CENTER
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IAll Sign Applications Must Include the Following:
Detailed Scale Plan of Sign
�\ Please Note: Permit Pee: $20.00, unless
Color Samples Ziel/ the estimated cost of the construction and
erection of signs is$3.000.00 or above,then
Method of Attachment 4 66-14/. 4r/lca fee of$6.00 per$1,000.00 plus a$5.00
application fee will be charged.
Method of Lighting
Location of Sign on Building: Drawing ✓ Photo _
Permit Fee - $20.00 ✓