SALEM CYCLE 6 Derby St_ f
Salem Cycle
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Permit Number
PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
APPLICATION MUST BE SUBMITTED IN DUPLICATE, ONE SET TO BE FILED WITH THE PLANNING
DEPARTMENT, AND ONE SET (BEARING THE APPROVAL OF THE PLANNING DEPARTMENT) TO BE
FILED WITH THE BUILDING INSPECTOR.
rDQ Location, Ownership and Detail Must be Correct, Complete and Legible. Separate
Application Required for Every Sign.
3 m Application for Permit to Erect a Sign
1700
p( Salem, Massachusetts 2I7
TO THE BUILDING INSPECTOR:
The undersignec Qreby applies for a permit to V Erect, _Alter,_Repair .
a sign on the following }described building:
Location and No. 316 ftoy }{P� fi Zoning/District
Name of Property Owner C 0� Sale y
Name of Sign OwnersCOEYn CYLIe- gMi.pI SLkYkl n
Address `3 b nay S� f e et
If Owner is a corporate body, name of responsible officer
Name of Licensed Sign Erector
Address Salem License No. '
Use of Building: Ist Floor Q_)Gyc le &+< �e3rd Floor
2nd Floor 4th Floor .z
Type of Sign: —Surface, _ Right Angles to Building, _Free Standing
✓Other (specify) Height:
Sign Materials P[VWQ0A �(' Pair +
Sign Dimensions Sign Area SF
Existing Signs: Surface: Sign Area SF
Right Angles: Sign Area SF
Free Standing: Sign Area SF
Other: Sign Area SF
Signs to be Removed: Type Sign Area SF
Frontage: Building FT Property FT
.y
Signature of Owner�Q j ,..vvri/ ) 9
�n.
Signature of Owner's Authorized Representative ' r,
Address
x
Estimated Cost Telephone
of New Work $ `
Signature of Property Owner
S lem Plan ng eparti ent Superintendent of Streets His ical
ON REVERSE SIDE PLEASE SHOW SIGN SIZE, COLOR, LOCATION; LOCATION Of 6Dim
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&>nd No. 68977423
Effective Date: March 6, 2000
TitH of 05dem
KNOW ALL MEN BY THESE PRESENTS
THAT WE, . ,Daniel Shuman dba Salem. .Cycle.
. of
Salem, MA
its Principal, and . .WESTERN SURETY COMPANY . , , ,
. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .
and . . . . . . . . . . . . . . . . . . . .. .. . . .. . . . . . . . . .. . . . . . . .. . . . . . . . .. . .. .. . . . . . . . . . . . . . . . .. .
as surefi , wxd ®1D in the State of outr
Ora are holden and stand firmly bound and
obliged unto the City of Salem, in the sum of one thousand dollars, to be paid to the
City or Assigns, to which payment, well and truly to be made, we bind ourselves, our
heirs, executors and administrators, successors and assigns jointly and severally, firmly
by these presents.
Sealed with our seals and dated the . .. .. . . . . . . . . . 7th, , , , , . , , , , , , , , , , , , , , , , , , , , ,
day of . March. . . . . . . . . . . . . . . . . . . . . . .in the year of our Lordtii$Pt$70- 'frr �ffi iM
)�rc. . . .2000. .
The condition of this obligation is such, that whereas upon the application made
by . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . .to the City Council
dated . . . .. . . . . . . . . . . . . . . . . .. . . . . .. a permit dated . . . . . .. .. . . . . . . . . . . . . . . . . . . . . . .
was granted to him to place and maintain an electrically illuminated sign that will extend
more than two and one half feet from the face of the building to which it is affixed and
which will overhang a portion of a public highway: Now the condition of this obligation is
such that if the said . Daniel.Shuman dba, Salem Cycle . . .. . .. . .. . . . . . . . .. . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
his heirs, executors, administrators, successors or assigns shall pay or cause to be paid
t file sNld alty,of4alaem all sums of money, costs and damages that the said City of
` it1-jt6�4o, lEbygdU@ 1IiPAbOMN'`uf law or otherwise be compelled to pay as a result of
°'fltiy' n4 Ury or damage caused to any person or property by reason of said projecting
sign, then this obligation shall be void, otherwise it shall remain in full force.
7th
IN WITNESS WHEREOF we hereunto set our hands and seals this. . . . . . . . . . . . . . .
day of. Mrch. . . . . . . . . . .x X2000
SALEM CYCLE
THE SIGN,. COVERED BY
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
THIS BOND, IS LOCATED
WESTERN. . SURETY. . . . . .COMPANY
SALEM, MASS. . . . . '1 iXkeri,.AAR1.$M. . . . .. ..
Expiration Date
CNA SURETY sM
Transaction Report & Invoice
CNA SURETY Principal Information: ID: 004071100
lUl SO. PHILLIPS AVENUE DANIEL SHUMAN DBA SALEM CYCLE
SIOUX FALLS, S.D. 57192 316 DERBY ST.
SALEM, MA 01970
Agency Code: 20-17225
ELIZABETH S PULEO INS AGENCY
6 MUNROE STREET
LYNN MA 01901
Transaction Description: NEW Transaction Effective Date: 03/06/2000
NUmber: 60977423 SF
Written By: WESTERN SURETY COMPANY
DeOcdptlon: SIGN INSTALLATION CITY OF SALEM
Obliges: CITY OF SALEM
CITY CLERK'S OFFICE PREMIUM $50.00 a 30.000%
SALEM, NA 01970
Effective Date: 03-06-2000
Expiration Date 03-06-2001
Ourrent Pennity. $1,000.00
Aawwu e�6$,,.a �• Gross Premium Charge: s50.00
„ SALEM CYCLE 1035
£ 316 DERBY ST.
SALEM, MA 01970 5_39„oz,zo
/� DATE
PAY
TO THE C 1 'I' o S� �e,v
8 ORDER OF $ ZO, OC)
�W.e 1f 00 I12'�� a"�'�- CSO DOLLARS 8
BankBoston_
Ran114aan,NA.—I�Wylun.MuuMu+eR•
i' FOR 1 I/L ' P,(bvti
it'00103SO 1:0110003901.' 271 13473ul
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