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87 Federal Street - C of A application - replace gutters - REQUEST FOR AMENDMENT Date Stamp RFC° VEn 3 JAN /.` ®R Salem Historical Commissi® I' I Uh DEVELOPMENT 120 WASHINGTON STREET,SALEM,MASSACHVSETTS 01970 For Office Use Only (978)619-SSBS 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 D Moving d-0-- Reconstruction ❑ Alteration ❑ Demolition ❑ Painting D Sign ❑ Other District: DDerby Street ❑Lafayette Street ❑McIntire O Washington^'8quare Address of Property: j�? S Name of Record Owner(s): Al &Ae t"DnJo s j Owner Mailing Address: $ 9.4 ,, /12/�' Description of Work Proposed Please'Ve orprint clearly:Attacli additional sbeets,as necessary e ��C. � �/1r�1 vR ReP/sic„� ✓R �V'qa Crv114jj tcAl� rs ��� —A-e C'vs/- k/ta 6e-jec ol r We Gt/' ,61 Adw Ij--e 70 P1J1dJ[-f (✓,)U,d FbK -1)e I ISU4,1 d A fu r Fe,J / 4 dQs' o ,IZd-c -e iwhI feCc,R.�V lej7LtAeJ -Ae t-lala t4-/ his fe�� Sri of 17;,-, hre5' A-�a cF -Ae how /s 17vr UosrSfe �,e STi� �� �r y�►�- Pal �s , Name of Applicant: t D Owner ❑Contractor ❑Tenant COtheCr: Signature: -- _ �-- Date: `z t - _ 3 ,�„�� I S-q`1 - .S`'7 3 7 E-mail Address: Rq CA 1 i e V L41 d , ("0 Certificate will be mailed to the owner unless otherwise indicated here: C Certificate should be mailed to: Name 1h ei-1 i'. Gv v h Cvq Y, 771,V Mailing address: r�� Q S T' _ City: .�i`r/P /,,j _ State:,Wft: o/ eft side - - vriew fro re � 1 ,I �Y 3�l •1�' �i. �}����L���e YG A.� •;+rr e •'�i', �r.- �� � .EF:� � r 1 '�f�,�.'�''J ��.'4!l� �fi�lra�e!�.'I�m • .�� d• x. F�. Ili+ / �+�" i fj�i•' If:..�.".;, 1" Al �! • -.ice.•" i WV s�'•`+1 kT' :7AF.4"{ .,-mow! "M1' j r. •3. � . ��: i 1 0 �. .yam•. �" �r��'I." �s wJ ; iphl �"� x Lr. r� r i ;i + moo 'r• do �1 = '1 j l. AP � � s � .1 : ,� ��_r., ,�.tom•, � 4 file kM 1 kiJ . M ,. . .=- �►� ire Ll ON � ' -��� 1 a� � �1,,� ��J�,,�. ,;fir ���' • � . jT, 14,1 iii '�41 ` I� ., � � `A - .'ate►'��titi+l'�► y. - d .fir_vit �j7 � i r � r � /. r •' 1. � �-