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19 North Street - C of A application - remove bollard (002) Date Stam TT RE !/ cc EEDD NN AP 092018 9 2018 Salem iStOlical Coll mission DEPT. F PLANNING & 120 WASHINGTON STREET.SALEM,MASSACHUSETTS 0197U CO M M U N I Y 1'Or OAc U e Only (978)619-5685 FAX(978)740-0404 r0 APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS Pursuant to the Historic District's Act (M.G.L. Chapter 40C) and the Salem Historical Commission Ordinance, application is hereby made for issuance of a Certificate of Appropriateness for: ❑ New Construction ❑ Moving ❑ Reconstruction ❑ Alteration ❑ Demolition ❑ Painting ❑ Sign X Other District: ❑Derby Street ❑Lafayette Street )(McIntire- El Washington Square Address of Property: l0 �tj STti�2 j Name of Record Owner(s): Vat (��v�� ca j pa Cc,PLY A-ho Lt L Owner Mailing Address: I Z M A)I-, FO O A /q, O L 1 J j Description of Work Proposed Please zjpe orpm2t clearly Altacll addiliol'al sleets, as nccessaj3: hemp,14L o F, -Fle cp.4>vli oA)FP>D i '/ 'R1t1ve wA y 7jA-T flI cY /Vo A)� ri kee; 7� e- p� f-4 D tv,f 1j W f 1 e f p llv#-4 l U A 11-/vrwloy �4 vt -Do f o A// 1 i� ! A"�d 2 l�lt�>~- L✓� �� f s zxpc To T1e 1.t r , o F > e API/ lr bv�e x Fly o rl--) TIC Wer% Tie 6Zo//Wb 40'44AAPN..r 4 e / )--/) hxr 6,valt A I�e �Ty/i 4l Nwl 70 7e 4 /l`je—ve 14,14 L = STb*A t_ Name ofAppli ogee C/mr Cpp, 's (3t-0(./)tw�Owner ❑Contractor ❑Tenant ❑Other: Signature: _ - -- _ Date: V7 /op Tel. #: -7,P/ �/ 0 y 91/ 7 E-mail Address: /m ey--71-&v-e/t,i AV ev w,-4 �cT Certificate will be mailed to the owner unless otherwise indicated here: Certificate should be mailed to: Name Mailing address: ----- City.. State:_Zip: w �pi1�lz I { O I 1 i • _ 4 { ` 1 ~ �Y 'w �;° 1 ` Go gle Maps 19 North St t e � � Q R .. . Image capture:Oct 2017 ©2018 Google Salem,Massachusetts r. Google,Inc. Street View-Oct 2017 Salef ungeon Mu UM G Peabody ES "'t