SalemSignApp-WatersandBrown Permit Number
APPLICATION FOR PERMIT TO ERECT A SIGN
NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN Is ERECTED
Location, Ownership and Detail Must Be Correct, Complete, and Legible
'�4rn�y Salem, Massachusetts
Date
To the Building Inspector:
The undersigned hereby applies for a permit to VErect, ❑Alter, +, Repalr a sign on the following described buildings:
DistrictStreet Address Zoning
71 L" FOrban Renewal Area o Entrance Corridor
❑ Historic District ❑ None
• � 8I5Use of Building
aL
Telephone 0 1$ floor
Sign • lr� okl V, 2 floor ,,
Address 3 floor
Telephone `t 7 A ^74- ' i_ I 4 floor
E-mail - 6 . r How many businesses are in the building?
If a corporate body, name Frontage
of �responsible officerSign Erector: Name . 1i2 C -
Building 4-0_ linear feet
Construction Saps License No �'� C— 0 Applicant's Space (if multi-tenant) ;v/4 linear feet
Address 41,5S,A�wl ST] .--- 1s +C'1tf PEA Property - linear feet
Telephone �2 . 76 7 1 Mail Sign Permit to
E-mail PF_AheA1S) .,rVM ❑Sign Owner ❑ Sign Erector ❑ Other:
Proposedmore proposed, attach additional sheets)
Sl n1 Sign 2 Sign 3
Wface urface Surface
tight Angle to Building ❑Right Angle to Building n Right Angle to Building
r7 Free Standing ❑Free Standing a Free Standing
o Awning c Awning Q Awning
❑Portable(A-Frame) u Portable (A-Frame) ❑Portable(A-Frame)
Other(specify) Q Other(specify) n Other(specify)
FSign Materials-r' �T Sign Materials d 1A Sign Materials
Sign 4imensioris_ ; Sign Dimensions Sign Dimeriiiions J
'� fir' ,.Y•-�S, j' '3-r e' �e:fi�;'3w,_
Sign Area Sign Area Sign Area
vU. � s ft •L, . s ft tr !. 7 sq ft
Sign Height(if free standing) Sign Height(if free standing) Sign Height(if free standing)
Estimated Cost of Net Work
$
Existing Signs Signatures
Type Sign Area To Be Removed? Sign Owner
Lv/Surface T2, r sq ft r yes i3/no
* Right Angle to Building sq It F_yes r no
u Free Standing sq ft ❑yes ❑no Si Aut rized Relre tative
Awning sq ft o yes ❑no
r,Other(specify) sq ft r yes n no
P perty Owner
Internal Review
Planning&Community Development Department Historical Commission
Approval
Building Inspector
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