3 Smith Street U2 Salem News Form ITHE SALEm NEWS
REQUEST FOR LEGAL NOTICE
Payment Is required at the time of the legal notice being received by the city and before it Is published in
the newspaper. An small will be sent to you with the cost. Payment by credit cord Is preferred.
Prepaid cost required to run the ad: $640. $270 per day x two (2) days • $540
"1mp9ttent: Average legal notice costs are estimated; customers paying by check will be refunded if the
legal ad is less than the deposit amount.
If paying by check, please make checks payable to THE SALEM NEWS and mail to:
City of Salem
Dept. Of Planning and Community Development
Cc: ZBA
98 Washirgton St
V Floor
Salem, MA 01970
Please choose and check one of the boxes for payment option:
❑Check # (attach check)
9Credit Card —Must call Salem News legal notice clerk at 978-675.2710
If payment is not received, the legal notice may be cancelled.
I understand that by signing this form, I am agreeing to the cost of the legal notice to be published in the
newspaper.
Julio rosa
Signed AppBcant7Authorized Agent
Print Name: Julio rosa
Address: 17 mason st
Peabody Ma 01960
Email wolfcarpenters@gmail.com
Phone: 9784193358
Date: 05/28/2024