3 CENTRAL ST - SIGN PERMIT Permit Number
APPIdCAT ION FOR PERMIT TO ERECT A SIGN
NOTE:BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN Is ERECTED
IF Location,Ownership and Detail Must Be Correct,Complete,and Legible
t�a1
Salem,Massachusetts
Date
To the Building Inspector.
The undersigned hereby applies for a permit to gErect, o Alter, o Repair a sign on the following described buildings:
Street Address
C Zoning g rtlan Renewal Area ❑Entrance Corridor
J ❑Historic DistdG ❑None
Telephone _ t floor
• i L r floor "
Address 3 floor
Telephone 4 floor
E-mail 7 � t� .,. How many businesses are in the building?
if a corporate body,name •AQ?' Frontage
Of nsibleofficer
Building linear feet
,�y3nSupsLicerseNo Applicant'sSpace(ifmuli-fenant) linear feet
Address property linear feet
Telephone
E-mail ign Owner ❑Sign Erector ❑Other.
Sion 7 SI n 2 1SI n 3
❑Surface ❑Surface ❑Surface
,Right Angle to Building ❑Right Angle to Balding ❑Right Angle to Building
❑Free Standing ❑Free Standing ❑Free Standing
❑Awning ❑Awning ❑Awning
❑Portable(A-Frame) rJ.Portable(A-Frame) ❑Portable(A-Frame)
❑Other(specify) o Other(specify) o Other(specify)
Sign Mate"ri Is Sign Materials V Sign Materials
Sign Dimensions I X Sign Dimensions' `tX, Lr'J'N Sign Dimensions
Sign Area l O `<`•^+ ,Sign Area �1 1 lJ Sign Area
sg ft ft s ft
Sign Height(B free standing) Sign Hei h (d(rate standing) Sign Height(B free standing)
Estimated Cost of Net Work I✓1D-EW=
1!-
$ �)C '(✓� S ) 1 C7✓i t �`f�lr C j C— �tjC1U
Existing Signs
Type Slgn Area To Be Removed? Sign O r' ,
❑Surface sq ft ❑yes ❑no
❑Right Angle to Building sq ft ❑yes o no -
❑Free Standing _sq it in yes ❑no Sign Owner' thorized Representative
o Awning _sq ft ❑yes ❑no
❑Other(specify) sq ft ❑yes ❑no
Prope weer
Internal Review
GLv
Planning&Community Development Department Historicel Commission
Approval
Building Inspector
OWW10.