102 Derby St App for Cert Appropriateness Date Stamp
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Salem Historical Commission
120 WASHINGTON STREET,SALEM.MASSACHUSETTS 01970 For Office Use Only
(978)619.5685 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 ❑ Moving ✓❑ Reconstruction ❑ Alteration
❑ Demolition ❑ Painting ❑ Sign ❑ Other
District: ✓❑Derby Street ❑Lafayette Street ❑McIntire ❑Washington Square
Address of Property: 102 Derby St.
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Name of Record Owner(s): George&Jodi Bradbury
Owner Mailing Address: 102 Derby St.,Salem,iv1A 01970
Description of Work Proposed
Please type orprint clearly.Attach additional sheets, as necessary.
Installation of 6 ft high cedar board fence with two gates in the back yard of the house. Removal &disposal of
existing wood fence and chain link fence.The new fence will be the same material,design and installer of
existing fences in the Derby St.neighborhood and will not be facing Derby St.Please see included photos of
current fence,newly proposed fence(photos of neighbor's fence two doors down), SOW from Patriot Fence and
elevation views.
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Name of ALpliiGeorge Bradbury t. ❑Owner❑Contractor❑Tenant❑Other:
05/13/2020
Signature. � Date:
Tel. #. 781-526-3657 E-mail Address: gbrad8200gmail.com
Certificate will be mailed to the owner unless otherwise indicated here:
Certificate should be mailed to: Name George Bradbury
Mailing address: 102 Derby St. City: Salem State:MAZip: 01970