222 DERBY ST - BUILDING SIGN PERMIT APP JACKET f Permit Numbq�
APPLICATION FOR PERMIT TO ERECT A SIGN
PERMIT MUST BE OBTAINED BEFORE SIGN IS FABRICATED AND INSTALLED
Location,Ownership and Detail Must be Correct,Complete,and Legible
V_
City of SALEK MASSACHiusLr $
TO THE BUILDING INSPECTOR
Th e undersigned hereby applies for a permit to Erect Alter Repair a sign on the following described buildings:
Location and No. 2-2-7- Zoning/District
Name of Property Owner - -�E_--- I `(
Name of Sign Owner_ / O )A I��=—JY1lLt�d`t.1�( Address Z 2 L�
If Owner is a corporate body,name of responsible officer. L=M Al F I 1 C J+ w
Name of Licensed Sign Erector m p-I_L�� Salem License No.
hL IZC_S i ( C 1=1NGC.� C OYI�r�PcLTISt�_
Address
Use of Building: P'Floor 1lf!� Yd Floor
Zed Floor 4d'Floor
Frontage: Building 7-y- V-r linear ft Property q L f F-t', linear @
Type of Sign Proposed: ❑ Surface Right Angles to Building ❑ Free Standing ❑ Awning
❑ Other(specify)
Proposed Sign Materials /71 K L A-( L PIA (—
� n
Proposed Sign Dimensions 7 7 u�,)) Sign Area sq ft
Existing Signs: Surface: Sign Area s @
Right Angles: Sign Area q
Free Stan sq ft
ding Sign Area sq g
Other. Sign Area sq ft
Signs to be Removed: Type Sign Area sq ft
Signature of Owner 4ulAl
Estimated Cost of Net Work Signature of Owner's Authorized Representative
$ Address 2-7 7 bi-: 1P I�C��24
Telephone
Signature of Property Owner
kPPRO 'ALS(Department Use Only):
NING&COMMt1NITY DEVELOPMENT MSTOR(GL COMMtSS1ON BUILDING INSPEcroit
222 DERBY STREET 208-10
COMMONWEALTH OF MASSACHUSETTS
CITY OF SALEM
GIS# 1290 „ -- -
Map. 35 j
B'OCk , "r SIGN PERMIT
Lori =o27s-zo11,,_:; '.t�
Pernut: ;Sign - -
Category ' 'SIGN
Pertmt# , '.. zos to PERMISSION IS HEREBY GRANTED TO:
Project# 111E!; JS 2010-000316
Est'"Cost: as t,7 Contractor: License: Expires
Fee Charged: $0.00 , ,., �i= �L�= ; Bayside Sign&Graphics
Balance Due:$.00 Owner: Dan Fox
#of Fixtures i Applicant: Bayside Sign&Graphics
DigSafe# aP ''AT: 222 DERBY STREET
UseGroup"-
ConstClass
ISSUED ON. 21-Sep 2009 AMENDED ON: EXPIRES ON. 21-Feb-2010
TO PERFORM THE FOLLOWING WORK.
SIGN PERMIT AS APPROVED FOR(MERRY FOX REALTY)jbh
THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF
ITS RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
SIGN REC-2010-000376 - 21-Sep-09 x $0.00
GeoTMSO 2009 Des Lauriers Municipal Solutions,Inc.