88-90 Federal Street application - paint colors Date Stamp
RECEIVED
Salem �'`i tn3 h-fi
EPT. OF PLANNING&
• l Coy711171vcinn COM MUNlTYDEVELOPMENT
For Office Use Only
AA
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 K Painting ❑ Sign ❑ Other
District: ❑Derby Street ❑L�a/fayette Street NNclntire ❑Washington Square
Address of Property: ,/� r �v� 5� kz4_Jt
Name of Record Owner(s): C o \
Owner Mailing Address: trQ.Q
Description of Work Proposed
Please type or-print clearly.Attach additional sheets, as necessary.
Yoh
00e
Name of Applicant: 'kL.i� �c �lQ� Owner❑Contractor❑Tenant❑Other:
Signature: Date:
Tel. #: — E-mail Address: �_ t co dy
Certificate will be mailed to it owner unless otherwis indica here:
Certificate should be mailed to: Name
Mailing address: 21 (Jm����� City StatOzip: =3
>
O
s— °? Q.
HC-105
PM-19
s
3 �*
a
c '
s i
V
t
PM-20
s
O
V
H
PM-21
BENJAMBENJAMIN MOORE" COLORIPREVIEW. HC
COLOR PREVIEW® PM