Application of Appropriateness_Salem Historical Commission_88.5 and 90 F...Moving tr Reconstruction
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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:
tr New Construction
t] Demolition
District: Emtby Street F-afaYette
Address of Property:66Ye-9u
Name of Record Owner (s):
Owner Mailine Adoress:
nT
Name of Appli ffiOwnerlContrac
Signature:
E-mail Address:
Certi/icate will be mailed to the owner unless othe
Certificate should be mailed 1s' \4rns LE O f\\ 4u | \ t't\ r
Mailing "oar"rr' 'J I &htrq\ 5t ciryfi
enantflOther:
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'
Fai ita
Recommended information includes :
result i nuatrcn to a
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 andposts, etc.)
Paint color samples, if applicable (no less than2"x2")
electrioal service and meters, and proposed screening
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