23 Winter St - C of NA application - paint inkind Date Stamp
4 �bs RED
J 14 2017
Salem Historical Commission DEPT. OF PLAJNNiN�I
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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 0 Painting Sign Other
District: DDerby Street Lafayette Street QMclntire QWashington Square
Address of Property: 23 Winter St
Name of Record Owner(s): Michael and Wendy Gunning
Owner Mailing Address: 23 Winter St,Salem MA 01970
Description of Work Pro osed
Please type or print clearly.Attach additional sheets, as Necessary:
Repaint body of house same color as existing (white). No changes or other painting.
Name of Applicant:Michael Gunning QOwnerE]Contractoro Tenant[]Other:
Signature: Date: 10 Aug 2017
Tel. #:520-429-1661 E-mail Address: mike@gunningfamily.org
Certificate will be mailed to the owner unless otherwise indicated here:
Certificate should be mailed to: Name (owner)
Mailing address: City: State:_Zip:
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