212 CANAL ST - BUILDING PERMIT APP (002) ! - ot, M ,
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Y�EINa GRANTED •.71
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CITY OF SALEM
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wLDING PERMIT APPLICATION FOR:
Permit to:
(Circe whichem apply) Roof. Remof. Install Siding. Conatruot.Deck, Shw�
RepaldReplace. Other:
PLEASE FILL OUT LEGIBLY•COMPLETELY TO AVOID DELAYS W PROC
TO THE INSPECTOR OF BUILDINGS:
The undwsVW hereby applies for a permit to build according to the folbw4q
Ownses Name ,L' I I C I ASh 2
Address a Phone 6&?0I -S 19-�p1 .1/s v,5 �
Arohltec es Name
Address 3 Phone t
Mechanics Name
Address a Phone
w o M aM PupoM it OuNr•I 01 .
mom"W a+NdnO? N a dw�lp,for how Illrlr hnlaas4_��j F c
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t�analad oat. GOv CRY uc l o N A ua •
for I�ro�at /,
�O' ionature of Applicant
SIGNEID UNDER THE P
DESCRIPTION OF WORK TO BE DINE OF PERJURY
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JUL-Z•0-02 10:25 AM Bev Sr. 97a 927 7817 f'. 92
MDRTGAGE INSPECTION
BAY STATE SURVEYING ASSOCIATES INC. JOB#
100 CUMMINGS CENTER, SUITE#316J, 9EVERLYNA.,0191S
/�vvtt Mons:
LOOATION :.. Rt /!1,)............L..: : .......... 1)This is a mortgage Inspecdon tuft"and not an
Instrument survey,therefore Chia plot plan is for
SCALE : 1" a sf0 PATE :...7.......................... mortoalle Inspection purvo"s onty.it is Not to
be used to establish boundaries or.W me
)'' I Z 3 U, G 4$ construdlon of any type of Itnprov.0
REI-`ERENCE: 6. ,'.. ....:. ................. 2)This survey Is based on survey marks of others.
X ,lli_F�,_�$7jtI CT s)gushes,shrubs.knees and b"lines do not
RR MT
Indicste property lines.
..........
d �A� 1)YY1+onvy er an offeM Is 11..or Isss.sneM
E M N RN MDRT(.d(it"CARP. aurv. Is recommended to detennlM
the ..atio,..ofth..bull.Ingi.............ow.........,...._............ lines.and an
the location d Ins trWldingts)09 shown,either y am aple enaeso cvidls 1 '
eamylled with the local zoning setbacks at the time of 91 Offsets shown an approximab,sadiis�e bs~-
ton{{truttlon or is exempt from vlolation enforcement used oniyfdr the datermlAehon of toning.Not to
action under Mersa.G.L.11da Vlt Chapter 46A section T be used to establish pnperty fin".
6)In my limfoselenal opinion the bulldingta)are not
located In the spselill flood haterd te11e,u
dellnedbyH.U.E.MAP*
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a is ::F)Hrl 7.il.R 1.71. 1.I9:XH� NNA 1 13Q:QI e:9T £0, 9Z/90 99b'ON 3-1I3