94 Federal Street - C of A application for paint colors ' f
Date Stamp
• t C?=PT. OF PI_n'�� !,'lG &
Salem Historical Commission Com AUNITY DEVELOPMENT
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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 Painting ❑ Sign ❑ Other
District: ❑Derby Street ❑Lafayette Street ,✓[]McIntire ❑Washington Square
Address of Property: 94 Federal St
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Name of Record Owner(s): James Gaull
Owner Mailing Address: 11 Chestnut St„Marblehead,MA 01945
Description of Work Proposed
Please type or print clearly.Attach additional sheets,as necessary.
Exterior painting entire house with Benjamin Moore Historic Colors.Trim will remain white but body to be
Tainted"Chestertown Buff' (see sample attached).
+ ga chestertown buff
r muZa de chestertown
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Name of ApplicailL.7- HC 9 18i 3/17or❑Tenant❑Other:
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Signature: ��y_ _
Tel.#: 978-3 -3548 E-mail Address: .igaull@yanou.com
Certificate will be mailed to the owner unless otherwise indicated here:
Certificate should be mailed to: Name
Mailing address: City: State:_Zip: