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31 Flint St C of NA application Date Stamp Salem Historical Commission :204JASHINGTON STREET.SALEM.MASSAeHUSErTsa,.9,a For Office Use Only �9783 sis-ssss F'xx.:9?a;f40-0404 APPLICATION FOR A CERTIFICATE OF NON-APPLICABILITY 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 Non-Applicability as described below for: ❑ New Construction 0 Moving ❑ Reconstruction ❑ Alteration ❑ Demolition ❑ Painting ❑ Sign ❑ Other District: ❑Derby Street ❑Lafayette Street ✓❑McIntire ❑Washington Square Address of Property: 31 FLINT STREET Name of Record Owner(s): Jonathan& Suzanne Felt Owner Mailing Address: 31 FLINT STREET,Salem,MA 01970 Description of Work Proposed Please Iilic orprim clearly. Attach additional shceL5, as irecesss7rt: Move a second-floor window approximately 16-20 inches to the right in order to make a previously walled-over window functional. No other changes of window or siding Same Paints [previously approved] May have to relocate 2nd-to-1 st floor downspout to have unobstructed view [and place it where it should have been installed initially] Name of Applicant: Jonathan&Suzanne Felt Owner❑Contractor❑Tenant❑Other: Signature: Date: Tel. #:978 74V 7758 E-mail Address: sfeltl@verizon.net Certificate will be wailed to the owner unless otherwise indicated here: Certificate should be mailed to: Name Jonathan&Suzanne Felt Mailing address:31 FLINT STREET City: Salem, 01970 y State:�Zip: