8 CENTRAL ST - SIGN PERMIT Permit Number 1 6 E`L✓E 111'E D
�a. APPIACAT144ullSIT TO ERECT A SIGN AUG 10 2011
r!. _ NOTE:BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED DEPT.OF PLANNING&
+�thftc Location, Ownership and Detail Must Be Correct, Complete, and Legible COM6QIPLTY DEVELOPMENT
r
-Aalem, Massachusetts f
Date
To the Building Inspector:
The undersigned hereby applies for a permit to ❑Erect, ❑Alter, ❑Repair a sign on the following described buildings:
Street Address Zoning District
f ( 2 Urban Renewal Area ❑ Entrance Corridor
LJ ❑Historic District ❑ None
;;;;Irinearfeet
Telephone qg ;Prope
c (Address k O 19
TelephoneE-mail Sa. I " ing?If a corporate body, nameoI res onsible ofcer i Lem• linear feetConstruction StOs License No � linear feet
Mail Sign Permit to
Address linear feet
Telephone
E-mail Sign Owner ❑Sign Erector ❑Other:
Proposed
Si n 1 I Sian 2 Si n 3
❑Surface ❑Surface ❑Surface
o Right Angle to Building ❑Right Angle to Building ❑Right Angle to Building
❑Free Standing ❑ Free Standing ❑Free Standing
❑ caning a Awning ❑Awning
ortable(A-Frame) ❑Portable(A-Frame) ❑Portable(A-Frame)
❑Other(specify) ❑Other(specify) ❑Other(specify)
Sign Materials Sign Materials Sign Materials
c
Sign Dimensions Sign Dimensions Sign Dimensions
Sign Area - Sign Area - Sign Area
12_K 2LI" 3 sq it n sq It sq it
Sign Height(if free standing) -' -,Sign Height(f free standing) Sign Height(if free standing)
Estimated Cost of Net Work _
$
Type Sign Area To Be Removed? Sign Owner
❑Surface sq I ❑yes ❑no
❑Right Angle to Building sq it ❑yes ❑no
❑Free Standing _sq I ❑yes ❑no Sign Ow is t rized Representative%crrnm' rK J�
❑Awning sq it ❑yes ❑no '
❑Other(specify) sq ft ❑yes ❑no
Pro Owner f
-- i ,.
Internal Review
Plannin &Community Develop ant Department Historical Commission
7 vG�
Building Inspector
oerzaio�.