186 Federal Street Salem News Form€TnuSru_,Emi{nxrs
REQUEST FOR LEGAL NOTICE
Payment is required at the time of the tegat notice being received by the city and before it is pubtished in
the newspaper. An email witt be sent to you with the cost. Payment by credit card is preferred.
Prepaid cost required to run the ad: $540. $ZZO per day x tlvo (2) days = $5a0
***lmportant: Average legat notice costs are estimated; customers paying by check witt be refunded if the
tegat ad is [ess than the deposit amount.
lf paying by check, ptease make checks payabte to THE SALEM NEWS and maiI to:
City of Satem
Dept. Of Ptanning and Community Devetopment
Co: ZBA
98 Washington St
2"d Ftoor
Satem, MA 01970
Ptease choose and check one of the boxes for payment option:
SCheck# / 0.?7 (attach check)
ECredit Card - Must catl Satem News legatnotice cterk a|978-675-2710
lf payment is not received, the tegat notice may be cancetled.
I understand that by signing this form, I am agreeing to the cost of the tegat notice to be pubtished in the
newspaper.
Signed Appticant/Authorized Agent
Denise CarriaPrint Name:
186 Federal Street - U1Address:
Salem, tMA 01970
Emait:jimcarria@gmail.com
441-489-5514Phone:
Darc.0712212024