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400 Highland Avenue - Sign Permit - MassGeneral Brigham UrologyCity of Salem Sign Permit Application Worksheet Zoning (res/non-res)B3 nonresidential Entrance Corridor (Y/N)Y Lot frontage 200 feet Building or tenant frontage 20 feet # of businesses on site 10 Bldng dist from street center 100-399 feet Multiplier 1.25 Building and Blade Signs maximum area permitted 25.00 sq ft total proposed sign area 25.00 sq ft Wall Sign 25.00 sq ft width 100.00 inches height 36.00 inches Window Decal 0.00 sq ft width 0.00 inches height 0.00 inches Window Decal 0.00 sq ft width 0.00 inches height 0.00 inches Sign 4 0.00 sq ft width 0.00 inches height 0.00 Sign 5 0.00 sq ft width 0.00 inches height 0.00 inches Freestanding Signs NONE maximum area permitted 0.00 sq ft (per side) maximum # of signs permitted 0 signs maximum height permitted 0.00 ft tall sign 1 proposed sign area sq ft length 0.00 inches height 0.00 inches Application meets guidelines set forth in the Salem Sign Ordinance Yes Recommend approval Yes 4-Apr-23 NSPG Urology 400 Highland Avenue Notes: Sign meets the requirements in the City zoning ordinance. LETTER OF AUTHORIZATION (LOA) for Metro Sign & Awning to act on the owner's behalf for the purpose of obtaining sign permits Project Location: ___________________________________ Agreed and accepted: By Name (sign): _________________________________________ Name (print): Title : _________________________________________ Phone number: Email: Date : _________________________________________ ___________________________________ ___________________________________ _________________________________________ _________________________________________ _________________________________________ 06/17/2022 Marsh Affinity a division of Marsh USA Inc. PO Box 14404 Des Moines, IA 50306-9686 Marsh Affinity 866-237-4079 ADPTotalSource@marsh.com New Hampshire Insurance Co.23841 A 07/01/2022 07/01/2023 2,000,000 2,000,000 2,000,000 ADP TotalSource CO XXI, Inc. 5800 Windward Parkway Alpharetta, GA 30005 Alternate Employer: C & D Signs Inc DBA Metro Sign & Awning 170 Lorum St Tewksbury, MA 01876 WC 053426077 MA All worksite employees working for C & D Signs Inc DBA Metro Sign & Awning paid under ADP TOTALSOURCE, INC.'s payroll, are covered under the above stated policy. C & D Signs Inc DBA Metro Sign & Awning is an alternate employer under this policy. Metro Sign & Awning 170 Lorum Street Tewksbury, MA 01876 X