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SOUCY INSURANCE DRBSIC" PERMIT 19941 SOUCY INSURANCE 201 Washington Street I SALEM REDEVELOPMENT AUTHORITY DESIGN REVIEW BOARD SIGN APPLICATION Date of Application: II�dSI�ty Applicant Name: c� Surrvte � luy- IIID Phone # Location of Building: aol Number Street Owner of Building: Po4Y � � 5 �v�1ce Sign Designer : Sty E� re Name of individual company Sign Type (Check more than one if necessary) Wall/Facade Temporary Protecting Banner Window Mechanical Other Sign Illumination Internal Bare Bulb Indirect None Other Submission Requirements: All items must be received two ( 2) days prior to meeting. ( Please check ) 1 . Detailed scale plan of sign ✓ 2 . Color samples 3 . Letter type/style 4 . Method of attachment V 5. Method of lighting V 6 . Location of sign on building: Drawing Polaroid 6' 7 . Fee 4 aS•0v zi Approval Denied: Approval Recommended: Date Approved: EX/DRBSIGNS "-'tfttt tt;ttittttit rrrttntf+,Alir �, ��- 6" �. i �r 5 � / VI S V ✓1 i"tj ✓1 I-r � x fl i„ Q 3 � a