177-179 Federal St - C of NA application - repaint to match existing color AVG
Salem Historical Commission MM oYt)"/V, "pMG a
120 WASHINGTON STREET.SALEM.!AASSArRUSETTS 8?970
1,978j 639-8688 FAX 39789 740-0404
3LICATION FOR A CERTIFICATE OF NON-APPLICABILITY
c District's Act (M.G.L. Chapter 40C) and the Salem Historical Commission Ordinance,
ade for issuance of a Certificate of Non-Applicability as described below for:
on ❑ Moving 0 Reconstruction 0 Alteration
li+— Painting ❑ Sign 0 Other
Street ❑Lafayette Street_ Cld'Ivlclntire ❑Washington Square
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Description of Work Proposed:
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®Benjamin Moore
Applications must inphotos of existing conditions, from 1
Name of Applicant: rr( Ift Owner ❑Contractor ❑Tenant []Other:
E-mail Address: 4 f kf/>'( OA4
Certificate will be mailed to the owner unless otherwise Indic ted here:
Certificate should be mailed to: Name ,
Mailing address: C t 03 City: � State,_ ip: e�