370-376 HIGHLAND AVE - BUILDING INSPECTION Permit Number
APPLICATION FOR PERMIT TO ERECT A SIGN a ..
LL 9 • ' .
R PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED '
Location,Ownership and Detail Musr be Correct,Complete,and Legible APR 0 9 Z 1`
CEPr rc of �,.j,;!viidG&
SALEM,MASSACHUSETTS COfyii�:•:.':: ' }-VtlC,DMENT
TO THE BUILDING INSPECTOR:
llic undersigned herebY applies for a permit to-Erect/J Alter, Repair a sign on the following descnbed buildings:
Location and No. Zoning/District
��
Name of Property Owner /fa ' £ram �C:�J�:;.j:./, 'j 'y' �C t ' F U f.fi,f r' T f G 71- r
Name of Sign Owner Address
If Owner is a corporate body,name of responsible officer
Name of Licensed Sign Erector Salem License No.
Address A-4 c<,?�'cD
l
Use of Building: 1"Floor 31d Floor
2"d Floor 4d'Floor
Frontage: Building linear It Property linear It
Type of Sign Proposed: Surface Right Angles to Building Free Standing Awning
Other(specify) /
Proposed Sign Materials 9,� l(L�,I/✓/�,JA7. .2> ZZ77 :C'`.'�
Proposed Sign Dimensions_- 2'>( /0'f9"' Sign Area s It9
Existing Signs: Surface: Sign Area sq It
Right Angles: Sign Area sq It
Free Standing: Sign Area s
Other. Si*,-Area sq ft
Signs to be Removed: Type ign Area - sq ft
Signature of Owner !
Signature o1'_Owne Authorized Re 5tad e
Estimated Cost of Net Work
Address
Telephone
Signature of Property Owner
APPROVALS(Department Use Only): _
4NI11&COMMUNITS'DEVELOPMfiNT HISTORICAL COMMISSION BUILD I GINSPECTOR