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SALEM REDEVELO?:fENT AUTRORlif
'..DESIGN REVIEW BOARD
Application for Design Approval - OTHER THAN SIGNS
1. Date of Application OCIyM(2-01 \
2. Location of Building �pv W(ASµ� TON �r SALEM
Number and Street
Proposed work impacts upon _Derby Square Historic area, _Museum area,
_Essex Mall, North residential area, —Peripheral area,
_Significant historic bldg. (Itemize)
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3. Owne
Name Telephone Number
�a�IT AU6 fFwne MI°r 0(9f��
Address
4. Architect*/Engineer*/ Other: MS'IP,
Name
Address Telephone Number
5. Type of Improvement New construction _Alteration Demolition
Site work Additi u
_ o-0ther WEPAT"T $jVZeT L6u- WI A NIIS`WICAcr
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6. Reason for Request' _Security _Change of use Energy consery
�hange of image _Safety Change of busi
** Other
7. Level of Approval Requested Concept _Schematic design '
oG_Final design Field decision .
Applicant must attach 3 copies of all schematic submissions (or in the case of
originals, models, or mock ups, the original and two photos of the submission)
24 hours prior to the regularly scheduled DRB meeting to SR_A staff_
(Do not.write below. this line)
Number of DRB members in attendance The vote was unanimous_ _Yes _Nc
DRB recommended action: _Approval as submitted No action, advisory- onl_.
Resubmit to DRB No action, inadequate
submission
Approval subject to the following: .
DRB comments are attached.
* A licensed professional architect or engineer is required for all constructio:
other than ordinary repairs (p. 71 S.B.C.) or performed on a building less th
35,000 cu. ft. enclosed space.
t*If in the appl_cant's view, the change is of significant economic importance,
information including financial figures where applicable should be supplied on
a separate attached sheet which will allow the Board to evaluate the-proposal
intelligently.
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