45 SUMMIT AVENUE - BUILDING INSPECTION 45 SUMMIT AVENUE T r,�
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'84 MAR 13 P 2 :39 PN X1.111
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CITY CLER;4•S OFFICE FORM A
SALEhI ; :AAKWATtON FOR ENPPA$FMFNT
Off,AN MEL6FVFR NOT TO AFQPIAV
AFFxOVA;L
In 4ccQrd4nce with PrP,Yt4tQ}ls Qf sectlgn 11-4, the
4pp}ivgnt mast flip, by 010pry Pr rP&Isteret# mail,
Native with the city ClIP4 stRting the date of suh-
misslRn fpr such 4etermin4tim. The n4ttcP sba#} he
444*4 to ", Pmfes Rf this FPrm A opphe4N4n.
The nRyce and bRth papier cif the 4pphpg4g4 must
be "44te stRmpPd" by the city C18rk rind then qnc
PoPy Pf this FPrm 4, with the P}an, fl}gd with the
R}4npiDg Pg4rd by the appl!caFtt, All Agt{Pes and
Re.R4c4t+Ras sh4}} he tyPPwrittep Pr neottx printatl
}n }A1`,
S4}em, mw.. ------- - re - 5' -#984
Tg the Plopping PQRrdi
The undersi"ed, helipmg tb4t the 4ceRntp4ny}ng p}an Pf his prPperty in the city of Stern does nPt
vPnstft4te 4
0u}n11Y}s4P0 Wttbin the Mmin Rf for $014106090 CPP.trR1 I w bec4use (see *t• 11-4 404
st4te spec4lc re444r1a) present stri}c�ures on' sa}c� property existed }or to enact-
.meat of g�esent aon�rl� 1�y idwg of tJle_e}tX o€- Sa]�n,--and-a—Spe°t.ai-p-ert"'t-_._
(copY_11ereW} ) Wd& g anted_�Y S �eln OEr0 of Appe��s Pr} FNDr *y 29� 198g,
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Rud herewith submits 404 P14n for a dptprnt1nagPn and e11d9rsPmept thq P}R4n14g 11Parf} 4PRr4y41
under the S4hdiyisiRq I�Pntr41 1,4w is pPt required.
I• NRmP of O'w{ter RQl?ertM�Kenrta_alld }a}tie McKenna -----------------------------------
- -- -- -- -
45 $yPg4}t �{ve e --- ---_ _ _.._
Adt}ress - - -n —, Salem, Massactlpsetts
- -- ----------------------------------------------------------------
2 N4rnr Rf Ft1¢iRF4} RF $RryeYQr -_KPMA !th._)�u fa d�_ Assq�,-----
94 hYrtrl Street pe -- t -- - - -------------------------------------
,
-
Ad4ross ------------
---------------- r aiY MaSsacilusetts
-__._ -__
�• Deed Pf RrRPerty records in ------F, �nx South_p}strict __. . --------- Registry
13004 - 5555- - p4Be 852
4 }-mg,"4n PM4 PBscr}Appo Pf PrPperty, -------------
----------------------------------
45 sigip Avetue! ShceTnf_._t�}asa�h?1sEt st
--------- --------------------------------
-------------------------s ° Qrl a par}y ns WD aA_iPt
-------------- ------------------------------------------ drtd
------- --------------------- --------------
0 C if Street
---- -------------------------------------------------------------------------------------
-----------------
---------------'- �==€ ---------- ---------- -------- ----------
---- sIa as Lot $ tklereor}
- - --------------------------------------------------------------------------------------------------------------------
-------------------------- ------------------------------------------------------------------------------------------------------- ----------------- -
5, 411 streets Rud ah4tting 1Rt }roes sh411 hp Ob Wn An fhe Plan together Mth the games of the Owners
Rf the 4hnt#RA 1941
S}ptlgture of Owner --
l2C]Tk�4`--�' r'i° MIM,AINE IyeIONNA �
Address__45 s�tt}nt}t Ave{luer Seem, -jgssachusetts
TelePhgne N4mher -------745-QN4---------------- ------------------------------
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t
' 9900
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Z/ EPEBs� CEPT/FY 711,47- T///.S DLt1 V O.ONFQPAf5.7 7 /E F O$EPT F �C�BNNi4
.PULES ,4N0 �PEGULAT�DNS OF h'EQEG/STEMS OFOEEOS �� � // /��ci�''��' 6y
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