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31 Washington Square No - C of A application for roof balustrade
4IV Salem Historical Commission DEPT. OF: PLANNING 8� 12©WASHINGTON STREET,SALEM.M.ASSACCHUSETS011970, COMMUNITYDEVF_.QPI0F_NT -78j 619-5685 FAX(978=740-G40d APPLICATION FOR A CERTIFICATE OF NONAPPLICABILITY �`p'R of ATVE LSS 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: 9-----New Construction ❑ Moving ❑ Reconstruction ❑ Alteration ❑ Demolition ❑ Painting ❑ Sign ❑ Other District: ❑Derby Street El Lafayette Street ❑McIntire j ngton Square Address of Property: L� //�� Vole 11/ . Name of Record Owner(s): �/`e/ & lef ,0/7 Z�' fit..__- Owner Mailing Address: Description of Work/proposed: wooer bex LL& E-r- aV'1-� pve. wA ate (P' , s1� '+r r Name of Applicant: '- � C h� - �� Owner Zrenfr-actor ❑Tenant ❑Other: Tel. #: .S - 3�� � ��� E-mail Address: Certificate will be mailed to the owner unless otherw'se m icate here Certificate should be mailed to: Name_,:K% "a Y� Mailing address: ,S6i� ,�/�?` City: �� rj� State:, (Zip:CAL