THE URBANE CYCLIST 282 Derby Street
The Urbane Cyclist
278-282 DERBY STREET 957-10
COMMONWEALTH OF MASSACHUSETTS
CITY OF SALEM
IGIS#: 1432
I,Block:
35
Lot: 0267 SIGN PERMIT
'Permit; Sign
;Category; SIGN
Perritt# 957-10 PERMISSION IS HEREBY GRANTED TO:
Protect# JS 2010-001296-��
-- ------ -1 Contractor: License:
,Est Cost: $1 000:00 Expires
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Fee Charged:$000
— - Designflow Graphics
!Balance Due:$.00 - Owner: OSGOOD GEORGE K,OSGOOD MARIE E WALSH
#of Fixtures , _ Applicant: Designflow Graphics
4DigSafe# — - AT: 278-282 DERBY STREET
iUseGroup
C nstClass
ISSUED ON: 21-Jun-2010 AMENDED ON: EXPIRES ON: 21-Dec-2010
TO PERFORM THE FOLLOWING WORK:
SIGN PERMIT AS APPROVED FOR(THE URBANE CYCLIST)jbh
1
THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM WPON VIOLATION OF ANY OF
ITS RULES AND REGULATIONS. / V015
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Signature: GC�y
Fee Type: Receipt No: Date Paid: Check No: Amount: r�
SIGN REC-2010-001525 21-Jun-10 x $0.00
GeoTMS02010 Des Laurie,s Municipal Solutions,Inc.
a City of Salem Sign Permit Application Worksheet
20-May-10
The Urbane Cyclist
282R Derby Street
Zoning(res/non-res) 65
Entrance Corridor(Y/N) N
Lot frontage 20 feet
Building or tenant frontage 20 feet
#of businesses on site 1
Bldng dist from street center 10 feet
Multiplier 1
Buildin and''BlaftSi nsa
maximum area permitted 20.00 sq ft
total proposed sign area 9.00 sq ft
sign 1
length 36.00 inches
height 36.00 inches
sign 2
length 0.00 inches
height 0.00 inches
sign 3
length 0.00 inches
height 0.00 inches !i
sign 4
length 0.00 inches
height 0.00 inches
sign 5
length 0.00 inches
hei ht 0.00 inches
Feestand)'n Signs
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 0.00 sq ft
length 0.00 inches
height 0.00 inches
proposed sign height na ft
sign 2
proposed sign area 0.00 sq ft
length 0.00 inches
height 0.00 inches
proposed sign height ft
Application meets guidelines set
forth in the Salem Sign Ordinance yes
Recommend approval yes
Permit Number
APPLICATION FOR PERMIT TO ERECT A SIGN
j� _r sj I NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED
Tf Location, Ownership and Detail Must Be Correct, Complete,and Legible
'0r Location,
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MIB Salem, Massachusetts II /o
Date
To the Building Inspector:
The undersigned hereby applies for a permit to ACErect, o Alter, o Repair a sign on the following described buildings:
Zoning
Z 6 2 l�. �e r b S}re.EA- o Urban Renewal Area ®Entrance Corridor
o Historic District ❑None
FFTeelephone
hone t floor
V i G r 2 floor
ress 3 floor
4 floor
E-mail How many businesses are in the building?
If a corporate body,name Frontage
of responsible officer
tesjqakow (q .0 Building linearfeet
Construction Sups License No IApplicant's Space(if multi-tenant) linear feet
Address 6 cl WOL'r gr of J Property linearfeet
Telephone ��_ z!�_ Mail Sign Permit to
E-mail `tom ( p ( Si ner ign Erector o er:
Proposed
Sin 1 Sign 2 ' Si 3
o Surface o Surface o Surface
o Right Angle to Building o Right Angle to Building o Right Angle to Building
/a Free Standing o Free Standing ❑Free Standing
o Awning o Awning o Awning
trflOther(specify) o Other(specify) o Other(specify)
`Sign Materials Sign Materials Sign Materials
Sign Dimensions Sign Dimensions Sign Dimensions
2 az X
Sign rea Sign AreaSign Area
sq ft s ftI sq ft
Sign Height(if free Sign Height(if free standing) Sign Height(if free standing)
Estimated Cost of Net Work
$ IAOO. a�
Existing Signs
Type Sign Area To Be Removed? Sign Owner
o Surface sq it o yes o no
o Right Angle to Building sq ft o yes o no
o Free Standing sq ft o yes o no Sign Owner's Authorized Representative
o Awning sq it o yes o no
a Other(specify) sq ft o yes ci no
P pe er
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Internal Review
Mil
Planning&Community Development Depanme Historical Commission
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okLiberty The Ohio Casualty Insurance Company
miatum. 9450 Seward Road, Fairfield,Ohio 45014
Bond# $080070
BOND
KNOW ALL MEN BY THESE PRESENTS: That we
The Urbane Cyclist
282 R Derby Street Salem MA 01970
Street Address City State ZIP Code
(Full Name Ilop linel and Address(bottom line)of Principal)
(hereinafter called the Principal) as Principal, and , The Ohio Casualty Insurance Company with principal offices at Hamilton,
Ohio(hereinafler called the Surety)as Surety,are held and firmly bound unto
City of Salem
120 Washington Street Salem - MA 01970
Street Address Ciry State ZIP Code
(Full Name Ilop line)and Address(bottom line)of Obligee)
(hereinafter called the Obhgee),in the penal sum of
One Thousand and------------------------------------------------------------------00/100 (Dollars)$ 1,000.00
for the payment of which well and truly to made, we do hereby bind ourselves, our heirs. executors, administrators, successors and
assigns,jointly and severally,firmly by these presents.
WHEREAS,the Principal has made or is about to make application to the Obligee for a Permit for
Displaying a Sign
for a term beginning on June 14,2010 - and ending on* June 14,-2011
(-strike out if license or permit is for an indefinite term)
NOW,THEREFORE,if the Principal shall indemnify the Obligee against any loss directly arising by reason of failure of said Principal to
comply with the laws or ordinances under which said license or permit is granted, or any lawful rules or regulations pertaining thereto,
then this obligation shall be void;otherwise to remain in full force and effect.
PROVIDED,HOWEVER,AND UPON THE FOLLOWING EXPRESS CONDITIONS:
1. This bond shall be and remain in full force during the term of said license or permit unless canceled in accordance with paragraph 2
below; but if said license or permit was issued for a specific term, and is renewed for one or more specific terms, this bond will be
extended to cover such additional term(s) upon the execution by the Surety of a Continuation Certificate, provided such certificate is
acceptable to the Obligee. In no event , however, shall the liability of the Surety be cumulative from year to year or from period to
period,nor exceed the penal sum written in this first paragraph of this bond.
2. The Surety shall have the right to terminate its liability by notifying the Obligee in writing ten(10) days in advance of its intention to
do so.
SIGNED, SEALED AND DATED June 14,2010
The Urbane Cyclist
By:
Principal
Th Ohio Casualty Insurance Company
By: Cuy\- Jl^J CCy'f�C""o _
Sandra J. Connors Attomey-in-Fact
S-3853 License or Permit Bond (Unnumbered)
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Principal: The Urbane Cyclist POWER OF ATTORNEY POA Number: 40-569
THE OHIO CASUALTY INSURANCE COMPANY
Obligee: City of Salem WEST AMERICAN INSURANCE COMPANY Bond Number: 5080070
Know All Men by These Presents:THE OHIO CASUALTY INSURANCE COMPANY,an Ohio Corporation,and WEST AMERICAN INSURANCE COMPANY,an
Indiana Corporation pursuant to the authority granted by Article III, Section 9 of the Code of Regulations and By-Laws of The Ohio Casualty Insurance Company and West
American Insurance Company do hereby nominate,constitute and appoint: Ronald M. Cleaves, Martin L. Donovan, Sandra J.Connors or George G. Powers of Norwell,
Massachusetts its true and lawful agent(s)and attorney(s)-in-fact,to make,execute,seal and deliver for and on its behalf as surety,and as its act and deed any and all BONDS,
UNDERTAKINGS, and RECOGNIZANCES, not exceeding in any single instance TEN MILLION ($10,000,000.00) DOLLARS, excluding, however, any bond(s) or
undertaking(s)guaranteeing the payment of notes and interest thereon.
And the execution of such bonds or undertakings in pursuance of these presents,shall be as binding upon said Companies,as fully and amply,to all intents and purposes,as if
they had been duly executed and acknowledged by the regularly elected officers of the Companies at their administrative offices in Fairfield,Ohio,in their own proper persons.
The authority granted hereunder supersedes any previous authority heretofore granted the above named mtomey(s)-in-fact. .
In WITNESS WHEREOF,the undersigned officer of the said The Ohio Casualty Insurance Company and West American Insurance Company
has hereunto subscribed his name and affixed the Corporate Seal of each Company this 31st day of January,2008 -
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NJ�, Uq-c �,rJ`�N IN9Uq��
;; SEAL is SEAL
� �•. :i Sam Lawrence Assistant Secretary
W' :s s•. :j
sr'• t
STATE OF OHIO,
COUNTY OF BUTLER .
On this 31st day of January,2008 before the subscriber,a Notary Public of the State of Ohio,.in and for the County of Butler,duly commissioned and qualified,came Sam
Lawrence, Assistant Secretary of The Ohio Casualty Insurance Company and West American Insurance Company,to me personally known to be the individual and officer
described in,and who executed the preceding instrument,and he acknowledged the execution of the same,and being by me duly sworn deposes and says that he is the officer of
the Companies aforesaid,and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies,and the said Corporate Seals and his signature as
officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations.
IN TESTIMONY WHEREOF,1 have hereunto set my hand and affixed my Official Seal at the City of Hamilton,State of0hio,the day and year firstabove written.
q Plan,
5 Notary Public in and for County of Butler,Slate of Ohio
AMy Commission expires August 5,2012
This power of attorney is granted under and by authority of Article Iq Section 9 of the Code of Regulations and By-Laws of The Ohio Casualty Insurance Company and West
American Insurance Company,extracts from which read:
Article 111,Section 9. Apnoinjillgild Qf Attomevs-imE=. The Chairman of the Board,the President,any Vice-President,the Secretary or any Assistant Secretary of the
corporation shall be and is hereby vested with full power and authority to appoint attorneys-in-fact for the purpose of signing the time of the corporation as surety to,and to
execute,attach the seal of the corporation to,acknowledge and deliver any and all bonds,recognizances,stipulations,undertakings or other instruments ofsuretvship and policies
of insurance to be given in favor of any individual,firm,corporation,partnership,limited liability company or other entity,or the official representative thereof,or to any county
or state,or any official board or boards of any county or state,or the United States of America or any agency thereof,or to any other political subdivision thereof
This instrument is signed and sealed as authorized by the following resolution adopted by the Boards of Directors of the Companies on October 21,2004:
RESOLVED,That the signature of any officer of the Company authorized under Article III,Section 9 of its Code of Regulations and By-laws and the Company seal
may be affixed by facsimile to any power of attorney or copy thereof issued on behalf of the Company to make,execute,seal and deliver for and on is behalf as surety any and all
bonds, undertakings or other written obligations in the nature thereof; to prescribe their respective duties and the respective limits of their authority;and to revoke any such
appointment Such signatures and seal are hereby adopted by the Company as original signatures and seal and shall, with respect to any bond,undertaking or other written
obligations in the nature thereof to which it is attached,be valid and binding upon the Company with the same force and effect as though manually affixed.
CERTIFICATE
1,the undersigned Assistant Secretary of The Ohio Casualty Insurance Company,American Fire and Casualty Company and West American Insurance Company,do hereby
certify that the foregoing power of attorney,the referenced By-Laws of the Companies and the above resolution of their Boards of Directors are true and correct copies and are in
full force and effect on this date.
IN WITNESS WHEREOF,I have hereunto set my hard and the seals of the Companies this 14th day of June 2010
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Mark E.Schmidt Assistant Secretary