7 Hamilton St - C of NA application - repaint house )3)
Date Stamp
E C i V
JUN d 3 2019
Salem Historical Commission DEPT. OF Pi,ANNING &
120 WASHINGTON STREET,SALEM,MASSACHUSETTS 01970
(9781 619.5685 FAX(978)740-0404
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 Moving ® Reconstruction Alteration
Demolition 2 Painting ❑ Sign Other
District: Derby Street OLafayette Street McIntire Washington Square
Address of Property:
Name of Record Owner(s):— �= CA' Q n-�-\A CA�i s�_t'a,_ �
Owner Mailing Address: `"`�` �
Descri tion of Work Proposed
Please type or print clearly.Attach additional sheets, as Necessary
o�
Name of Applicant: EOwner E]Contractor[]Tenant Other:
Signature.. Date:
Tel. #:1- 1 ? 1 y?- E-mail Address: C vt . C�(Z�v c L
Certificate will be mailed to the owner unless otherwise indicated here:
Certificate should be mailed to: Name ` . N `r \ k
Mailing address:_ �yr S: 1�, `� City: 'NVQ�A State Zip: �)_\) o
From: frank cutletta cutietta—frank@yahoo.com {v
Subject:
Date: May 15,2019 at 3-08 PM
To: Carlotta Tyler carlottat@icloud.com
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