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337 Essex St Athenaeum - C of NA application replace fence Date Stamp RECEIVE r t OCT 13 2017 DEPT. OF PLANNING & Salem Historical Commission COMMUNITY DEVELOP ENT 120 WASHINGTOV!TREET.SALEM.MASSACHUSETTS 01970 For Office Use Only 0'-r '-5685 FAX 1978)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 g Reconstruction ❑ Alteration Demolition ❑ Painting ❑ Sign ❑ Other District: []Derby Street []Lafayette Street C<clntire ❑Washington Square Address of Property._ 3 3-7 l- :5"yr5F x S l Name of Record Owner(s): T�-1 E ��' L /� /�"T t-1 r A) A Owner Mailing Address: 3 ES 5E,,c 5 T, 4.,VA).' As .lah-*j --M 4 V,C Rr?C,I o"S Description of Work Proposed Please type or print clearly Attach additional sheets,as necessarv. Re"" o v2P a. J_ ir2 / < wcj cZ ro cc c� �.� / � Ot�0a[ 'CviC@ 1Je�weew37 (_sSt'�.e Sr. a�i,.0 �7 Th e sexl S4 4eH c-e- h&s 0( e_ ce12/alecY7,b Ye 40/q Ce I,,,, e 7 , Th e rer/4CPh.. ems. � 4� // b� �/�-� (�tea�� 1,x S s, w I:th �yx �f s l PoS--. �a e (J©S+s on 511 le �vp— `�rs s G -. w,'I/ ,(7e c c Defc:�[ f c, r►a/tc h C ii t f a� cvE1/ be n„ 8ceft-k-,5_ All &.,;// be Z' °r�416-MJ 'F'e.a c e_ L.o (I 6 e �cai,.,te cX +o -i c 4 v I H..., a�v 7 13rT7s o ,/.j / Sp V-*A Side , JU o t2 �► S i �C ,,.� A?J�e+>xc e,c n�. 4,r/� ,r.<�to�i @ 1 fTi h� Femee• Name of Ap ant L n ❑Owner❑Contractor❑TenantMther: YY� Signature: Date: 4l1 1 Tel. #: ;t_7 Q-37YZ2 E-mail Address: It S �cz Q'&W,01 • A61 Certificate will be mailed to the owner unless otherwise indicated here: Certificate should be mailed to: Name Mailing address:_ City: State:_Zip: ATTACHED DOCUMENTATION An application will not be considered complete unless all work items are thoroughly described and the application includes all information needed for the Commission to make a determination. Failure to submit a complete gMlication may result in a continuation to a future meeting._ Recommended information includes: Photos of existing conditions,taken from all public ways Site plan showing location of improvements Elevation drawings of the existing conditions and proposed improvements Drawings of details and other special conditions,including profiles Description,photographs,and/or catalog cuts of proposed materials(please bring to the meeting product samples,if appropriate) Dimensions(i.e.height of fence,size of pickets and posts,etc.) Q Paint color samples, if applicable(no less than 2„x2„) Location and size of all mechanical equipment,such as transformers,HVAC equipment, Ewi electrical service and meters,and proposed screening a y r r i� 'e �� •r � . Y1C..s1—1M+-'..� ?�}c •fir. t 4 a ++ �. 7 V oC .,�.