Application for certificate of nonapplicability Poseidon Fountain covering Date Stamp
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For Office Use Only
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 ❑ Painting ❑ Sign Q Other
District: ❑Derby Street ❑Lafayette Street QIjlelntire ❑Washington Square
Address of Property: Salem Public Library,370 Essex Street
Name of Record Owner(s): Trustees of the Salem Public Library
Owner Mailing Address: 370 Essex Street,Salem,MA 01970
Description of Work Proposed
Please type orprInt clearly:Atlach additional sheets, as necessary.
The Trustees would like to cover the historic Poseidon Fountain located on the grounds to protect it and help
preserve it over the winter months. A temporary wooden frame will be built in a triangle shape from the top of the
fountain to the basin,which will then be covered in sturdy white plastic shrink wrap. The Trustees would like to
install the covering in late November and have it removed in early spring once the weather clears.
pP Tara Mansfield ❑ ❑ r❑ ❑O �-
Name of Applicant: Owner Coritracto Tenant �/ ther:Library�.,
Signature: 2 _' x Date: i 1/4/19
Tel.#:978-744-0860 E-mail Address: mansfield@noblenet.org
Certificate will be mailed to the owner unless otherwise indicated here:
Certificate should be mailed to: Name
Mailing address: City: State:_Zip: