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88-90 Federal Street application - fence and rear roof EForeOnly �l1 Salem Historical Commission 120 WASHINGTON STREET,SALEM,MASSACHUSETfS 01970 (978)819-5885 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: 0 New Construction 0 Moving Reconstruction �, Alteration ❑ Demolition ❑ Painting 0 Sign ❑ Other District: ❑Derby Street 'j ❑Lafayette Street IVMcIntire ❑Washington Square Address of Property: v i L ®" ci Name of Record Owner(s): < V' Owner Mailing Address: (� S Description of Work Proposed Please tJpe orpm2t clearlf:Attach additional sleets, as necessary fill 4if- mtv VIA ctv �UL Name ofApp ' t L.�,O ( Owner ❑Contractor ❑Tenant ❑Other: Signature: Date: Tel. #: - -3 3© E-mail Address: -`4VA v r\,aQ%� 01-M Certificate will be mailed to the owner unless otherwise indieved here: Certificate should be mailed to: Name V' . 1 t Mailing address: z C�2'�1 � City: � 4 State��ip: i �4i! �n a ►ti, '��T • p Y r 'ti. wl AP 26-627 LOT 626 LOT 628 3 STY rjo.ol,