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28 Carlton-100 Derby Street C of A application - architectural shingles Date Stamp 1VED-1 ipj 12 PLANNING�` ��•' A Y D� UNO'11 Y DEVEI.OPNIENT i"jD'E T. FGOMM Salem Historical Commissior�aM � TY. L NfNT 120 WASHINGTON STREET,SALEM,MASSACHUSETTS 01970 For Office Use Only (978)619.5685 FAX(978)740-0404 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 0 Demolition ❑ painting 0 Sign ❑ Other District: tDerby Street ❑Lafayette Street ❑McIntire ❑Washington Square Address of Property. 2 <2 L S 1T, ST- Name of Record Owner(s): PHII-116 Rpy> Owner Mailing Address: 5,,9 rq a Deseription of Work Proposed Please liPe orpmv clearlf:Attach additimial sheets,as necessary xe�10619G1, 400F ON CAR LroN Sr. s/,t2c C>F lydu SlC rJ'l-llS 5'1D/:--- CURAEN)rI- Y /-1AS 3 `T-4( S`T YL-c W F GJ o u L I°R P f=C--lz 7-0 AR CH) TG C T-UAL- Sryc._F lJ1-� r cl-r wA5 fpy'3t 7© GP-4,F-- A 51 DE- Y12-74a 6:4 %f7't S S T yL c) /�-s)t)l, CoS / S GuA RA N T1=E-n (� f-:- RC ZSo & EPLAC INCH- r;-� k G SKY I- 1T.C. tut 'r i-(' I--H r r k A C r 4-1 G Gx? d e r L� O (I PQ CG�tu7W/-}CT R G:)tL.L. 815- Tdn(nlLl� C/ TY Acarrn/G- Pg-APebV 1 Name of Appli t: ��!�I 1° �� S 7<_; Owner ❑Contractor ❑Tenant ❑Other: Signature: 7 Date: _ '7 1 Tel. #: �! "7 - `{'f — 211 L/ E-mail Address: -enificate will be mailed to the owner unless otherwise indicated here: Certificate should be mailed to: Name Mailing address: _ _ City:_ State:_Zip: � 1 IL di ell r f A \ ry. • 1 5 r r r� • 1 �- r • !, -P I of IL `', Il Sarah Cahill From: Crotchet Box Country Store <crotchetbox@gmail.com> Sent: Thursday,July 12, 2018 9:06 AM To: Sarah Cahill Subject: 100 Derby Roof N, 1 • `may` - -��. Sent from my Wad iI in '�� �'•Wolin 41CAM ai r r 41 r M t ke