63 JEFFERSON AVENUE - BROADWAY COLLISION CENTER 63 Jefferson Avenue
Broadway Collision
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10/04/2004 09:47 9787400404 —PAGE 03
APPLICATION FOR PERMIT TO ERECT A SIGN
PERMPP MUST BE OBTAINED BEFORE SIGN IS EREC`FED R E C E I V E D
,is Location, Ownership and Detail Must be Correct,Complete,and Legible
NOV C 3 2004
SALF]d,MASSnCHU
'T.
T OF PLANNING&
'�OR�a{dfdtA BE�Nq
TO THE BUILDING INSPECTOR:
The undersigned herebby^ applies for a permit to Erect Alter,_Repair a sign on the following described buildings:
G Location and No, 3 --Se;';�k'- s&ij zoning/Dlstrict
Namc of Property Owocr H L)e, } '_1<, c t�
Name of Sign Owns G z c-\ 1�1 r . Z 1 Address h S SL4FC'i
r
If Owner is a corporate body, name of responsible officer ter. W / c'-y 1 ON
Nadu of Ucmred Sign Erector Salem Liters,No.
Address [�
Use of Building: l■Floor At To �U'lj 3^s Floor
2'a Floor 14w Floor
Frontage: Building 96 linear ft Property linear ft
Type of Sign Proposed: Surface E] Right Angles to Building Ej Free Standing Awning
❑ Other(specify) /
Proposed Sign Materials wy:� r� —t- yi N A L kaj 11-1 S ,56R,Q/kR d
x / �Q11O l.sS i l
Proposed Sign Dimensions c� x � � Sign Area sq h
Existing Signs: Surface: T�i-N' Sign Area � / X / sq ft
Sign Area sq h
Sign Area --� sq It [�
Other: Sign Area sq ft
Signs to be Removed: Type )-li. SV Sign Area sq It
Signature of Owner
Estimated Cost of Net Work Signature of Owner's Authorized Representative `
Address
Telephone
Signature of Property Owner
APPROVALS(Department Use Only):
PLtN m At.CoswvroTY Dvmormvmr Hssrosucm.Comsusson BtmDING INSPECTOR
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mall
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City of Salem Department of Planning & Community Development
Check/Cash Receipt and Tracking Form
Please complete form and make two copies.
Date Received 113 U
Amount Received 1?0 WO
Form of Payment Check Cash
CHECK PAYMENTS: /O�Z
write check number
CASH PAYMENTS:
write client initials
Ix Sign Permit Application Fee
0 conservation commission Fee
Payment received for 0 Planning Board Fee
what service?
0 Old Town Hall Rental Fee
0 Other
Name of staff person (� V T
receiving payment �rc'n 1. / Cao rm i na
Additional Notes �1
63 Je �uDn Ajf - w�
Co11 LSur%
BANK
BROADWAY COLLISION
EASTERN
� m 1 082
63 JEFFERSON AVE.
SALEM.MA 01870 53- 13
iPAY TOTHE l/
ORDER OF $ ,
V
DOLLARS
i
1
MEMO P r w rv-
�' ! ' /
11.00 08211' 11301798e: 60028745211'
qq i
e SECURITY FEATURES INCLUDED.DETAILS ON BACK. W
Copy 1: Client
Copy 2: Application File
I
City of Salem Department of Planning & Community Development
Check/Cash Receipt and Tracking Form
Please complete form and make two copies.
Date Received �� 3
Amount Received
Form of Payment check F� Cash
CHECK PAYMENTS:
write check number
CASH PAYMENTS:
write client initials
LX Sign Permit Application Fee
conservation commission Fee
Payment received for Planning Board Fee
what service?
Q Old Town Hall Rental Fee
F—] Other
Name of staff person (� V
receiving payment T j^c'n / coo rrYl i nd
Additional Notes
63 Je �Von AvP - &baA-Lu
poll sun
EASTERN BANK Ov�
BROADWAY COLLISION SALEM,MA 01970
63 JEFFERSON AVE.
SALEM,MA 01970 53.1791
1 13
i PAY TOTHE
7 ORDER OF $
DOLLARS
I
MEMO Rr sin
ii'OO i08 21i• i i 30 14981: 600 2874 5 2u1
pp i
LJ SECURITY FEATURES INCLUDED.DETAILS ON BACK. PI
Copy 1: Cllent
Copy 2: Application File
CITY OF SALEM
0
s DEPARTMENT OF PLANNING AND
COMMUNITY DEVELOPMENT
STANLEY J.USOVICZ,JR.
MAYOR
120 WASHINGTON STREET ♦SALEM,MASSACHUSETTS 01970
LYNN GOONEY DUNCAN,AICP TEL:978-745-9595 ♦FAX:978-740-0404
DIRECTOR
Rix
To: Bailey,Broadway Collision From: Frank Taormina,Planner
Fax: 978-741-2881 Date: 10/4/04
Phone: Pages: 4
Re: Salem Sign Application Request CC:
❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle
eComments:
.co r
CITY OF SALEM
DEPARTMENT OF PLANNING AND
COMMUNITY DEVELOPMENT
STANI.I-.)' J. USOVICZ,JR.
MANOR
120 Wnsl HN(,rU�N STRFN•Snla.M,Mn�,nri iu�i-i rs 01970
LYNN GOONIN DUNCAN.A1CP TEL 978-745-9595• FAX:978-740-0404
DIRECTOR
October 4, 2004
Broadway Collision
63 Jefferson Avenue
Salem, Ma 01970
Dear Bailey:
As requested,I have faxed a copy of the Salem Sign Application and Sign Permit Process to
you.
Please let me know if you have further questions or require more information to complete
the sign review process. I can be reached by phone at 978/745-9595 x311 or email at
Ftaormin4@salem.com
Sincerely yours,
/or
rank inalanneservation Agent
Enclosures