398 ESSEX STREET - SIGN PERMIT 398 Essex Street
Essex Street Dental Medicine
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0398 ESSEX STREET 784.07
COMMONWEALTH OF MASSACHUSETTS
CITY OF SALEM
GIS#: 767
Map: 25
ot:Block: 0096-201
Lot: SIGN PERMIT
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Permit: Sign
Category: SIGN
Permit# 784-07 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2007-001140
Est.Cost: $975.00 Contractor: License: Expires
Fee Charged:$0.00 CHATHAM SIGN SHOP
Balance Due:$.00 Owner: JEFFREY&KATHERINE CASIGLIA
#of Fixtures Applicant: CHATHAM SIGN SHOP
DigSafe# AT: 0398 ESSEX STREET
UseGroup
ConstClass
ISSUED ON: 13-Mar-2007 AMENDED ON: EXPIRES ON: 13-Aug-2007
TO PERFORM THE FOLLOWING WORK:
(1)4 SQUARE FOOT SIGN
THIS PERMIT MAY BE REVOKED BY THE CITY OFi iY6s 4`VIOLATKW OI�IIr
ITS RULES AND REGULATIONS. j$
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Fee Type: Receipt No: Date Paid: .aiLl �-ChVro.f
SIGN REC-2007-001413 13-Mar-07 Sow s
GeoTMS®2007 Des Lauriers Municipal Solutions,Inc.
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Western Surety Company
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CONTINUATION CERTIFICATE
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Western Surety Company hereby continues in force Band No. 70467769 briefly
described as SIGN PERM11 CCTV OF SALEM
for
as Principal,
in the sum of$ ND AND NQ/100 Dollars, for the term beginning
March 10 2014 , and ending March 10 2015 subject to all
the covenants and conditions of the original bond referred to above.
This continuation is issued upon the express condition that the liability of Western Surety Company
under said Bond and this and all continuations thereof shall not be cumulative and shall in no event exceed
the total sum above written.
Dated this 23 day of January 2014
:+jrxrlrst,;.. WESTERN URETY COMPANY
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Paul T. Br at, Vice President
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THIS "Continuation Certificate" MUST BE FILED WITH THE ABOVE BOND.
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Form 90�A-8-2012
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PUMP
Permit
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` APPLICATION FOR PERMIT TO ERECT A 911 E-N ED
n lawry
PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED
Location,Ownership and Detail Must be Correct,Complete,and Legible FEB 2 8 2007
DEPT.OF PLANNING&
COMMUNITY DEVELOPMENT
SALEM,MASSACHUSETTS
TO THE BUILDING INSPECTOR:
The undersigned hereby applies for a permits too�Erect After, Repair a sign on the following described buildings:
Location and No. .%-IS 65eX -4y'c&-t Zoning/District McIntire.
Name of Property Owner Je{fret/ ar%A Pftrinir. Ca5i( lm
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Name of Sign Owner J e f frej Address 3-10 E556X J I re t°.1 I I e yy1 i �1/I
If Owner is a corporate body,name of responsible officer
Name of Licensed Sign Erector ��A Salem License No.
Address
Use of Building. I"Floor M I_fed IA2, 3b Floor
2.d Floor 46 Floor
Frontage: Building 2-0- 45 linear It Property linew It
Type of Sign Proposed: ❑ Surface Right Angles to Building Free Standing Awning
Other(specify)
Proposed Sign Materials 'WOOd 1 5kel Wyved Side 6frnpe? -''w5e- e,(i5finq bracket
Proposed Sign Dimensions 11 h iO A 30 " w d e Sign Area~ 'T. 10 sq ft
Existing Signs: Surface: Sign Area sq It
Right Angles: Sign Area sq It
Free Standing. Sign Area sq ft
Other: Sign Area sq ft
Signs to be Removed: Type W004 sq ft
Signature of Owner ���p��
Signature of Own is Au razed R res tative NA I f I INIM IC . IAA/Xl(GYi(�
Estimated Cost of Net Work n r
$ � 15 00 Address MO e5SCX Sfree ,S 1c:1m 1 MA ON10
Telephone VAN.C Si I iA Ct 11 - 1- C6RX 5+. Dey*Al MAu Dr.CaSigGa)
8-7,t4-1g04
Signature of Property Owner
APPROVALS(Dcparnnent Use Only):
VV F1
*i?NGOMMUNITY DEVELoph NT HIS'rolucALCOMMISSION BUILDING INSPECTOR
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINALS)
I M /A�CL�
DATA
City of Salem Department of Planning & Community Development
Check/Cash Receipt and Tracking Form
Please complete lbrm and make two copies.
Date Received L 0-7
Amount Received ZC7 CSD
Form of Payment ® Check Cash
CHECK PAYMENTS:
write Check number CJ �cj
CASH PAYMENTS:
write client initials
Sign Permit Application Fee
Q Conservation Commission Fee
Payment received for planning Board Fee
what service?
Old Town Hall Rental Fee
0 Other
Name of staff person V
receiving payment Kirsfien KI✓)ZeZr
Additional Notes
1595
ESSEX STREET DENTAL MEDICINE
JEFFREY M.CASIGLIA DMD,DMSC SALEM FIVE
398 ESSEX STREET SALEM,MA 01970
SALEM,MA 01970 53-7055-2113
978 744 7904 2 24. 2-Ic l
PAY TO THE +
ORDER OF &T14 O P �L CM $ GG
DOLLARS
toLI ^W� O^I1V L f
WC
MEMO
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08990 73
Original Check and Form: DPCD Finance
Copy 1: Client
Copy 2: Application File
CITY OF SALEM
DEPARTMENT OF PLANNING AND COMMUNITY DEVELOPMENT
MEMORANDUM
TO: Lynn Goonin Duncan, Director
FROM: Kirsten Kinzer, CDBG Planner
SUBJECT: Sign Application—Essex St. Dental Medicine
DATE: March 5, 2007
LOCATION: City Wide, Local Historic District
ADDRESS: 398 Essex Street
DATE REC=ED: February 28, 2007
BUILDING FRONTAGE: 28.5 feet
NtAXINIUM ALLOWED: 57 square feet
PROPOSED SIGNAGE: One oval blade sign, 19.5" by 30". The proposed sign will be
have a black background with gold lettering and detailing.
TOTAL AREA OF SIGNS: 4 square feet
CONBIENTS: The sign has been reviewed and approved by the Salem Historical
Commission.
RF.COI\BIENDATION: This application meets the guidelines set forth in the Sign
Ordinance. I recommend approval as submitted.
Please let me know if you would like more information regarding this topic.
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ESSEX STREET DENTAL MEDICINE
JEFFREY M. CASIGLIA, DMD, DMSC WILLIAM F. WHITE, DDS
February 26, 2007
Ms. Kirsten Kinzer, CDBG Planner RECEIVED
Department of Planning and Community Development FEB 2 8 2007
City of Salem
120 Washington Street, 3rd Floor DEPT.OF PLANNING&
Salem, MA 01970 COMMUNITY DEVELOPMENT
Dear Ms. Kinzer,
Following a productive meeting the Salem Historic Commission, I am happy to submit my
application for a permit to erect a new sign at 398 Essex Street. Enclosed I anticipate you
will find the required information—as per listed on the City of Salem's web site. The scaled
drawing, as provided by Mr. Bob Lacy at Chatham Sign Shop in Chatham, MA, details the
color scheme for the sign. However, it should be noted that the lettering and outline will be
done in 23K gold leaf. Letter style and size (Caxton, 2 inches in height) are also noted on
this drawing. We plan to use the existing bracket and lighting for this sign (note that the
Historic Commission has requested that we paint the bracket black). Dimensions of the
sign are noted on the drawing as well as on our application (an oval sign 19.5 inches tall by
30 inches wide) — I have approximated the square footage (as my memory of geometry fails
me). I have provided 8 photos of the current sign. Of course, a check for $20 for the
permit application fee is attached to all of the paperwork.
Please feel free to contact me via e-mail (kcasigli2@yahoo.com) or phone should you have
any questions or need further information. You may reach me at 857-231-6902. You may
also contact my husband, Dr. Jeffrey Casiglia, at 857-231-6478 or at his office at 978-744-
7904.
As per our discussion, most of the effort for the suret, bond is complete (all I need to do is
send a check). Therefore, I anticipate you will let me know when you are ready for that.
As always, I appreciate your help and time with this matter.
Sincerely,
Katherine (Katie) Casiglia
398 Essex Street
Salem, MA 01970
398 ESSEX STREET SALEM, MASSACHUSETTS 01970
TELEPHONE: 978.744.7904 FACSIMILE: 978.745.8302
04/09/2007 09:58 9787458302 ESSEX ST DENTAL MED PAGE 01/04
p, KATIE CASIGLIA
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FACSIMILE TRANSMITTAL SHEET
TO: FROM: KG1fie Cayiglia
Ms. Wrstcn Knuv
Ciiy f�l{g1'1 � P(anntrn+COMPANY RATE
FAX NU?43ER: *TLALML NO.OF PAGES INCLIAMNG WVER:
q78- 7440 - 0 4 0� 2-
PHONE NUMBER SENDERS REFERENCE NUMBER
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RE: YOUR REFERENCE NUMBER
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❑ URGENT x FOR REVIEW ❑ PLEASE COMMENT ❑PLEASE REPLY ❑PLEASE RECYCLE
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04/09/2007 09:58 9787458302 ESSEX ST DENTAL MED PAGE 02/04
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Western Surety Company
LICENSE AND PEPMM BOND
KNOW ALL MEN BY THESE PRESENTS: BOND NO. 22890783
That weJEFFREY M CASIGLIA DMD DMS of asa ESSEX ST SALEM MA 01970 ,as Principal,and WESTERN SURETY COMPANY,
a Corporation duly licensed t0 d0 business In the State of MA , as Surety, are held and firmly bound unto the
CITY of SAI FM , State of MA ,Obliges In the amourd of '
ONE RS DOLLARS($ 1 000.00
lawful money of the United States, to be paid to the said Obligee, for which payment well and truly to be made, we bind ,
ourselves and our legal ralpfesentalivae, jointly and severally.
THE CONDITION OF THIS OBLIGATION IS SUCH, That whereas, the Principal has been licensed
SIGN PERMIT by the Obligee.
NOW THEREFORE, if the Principal Shall fadhiully perform the duties and comply with the laws and ordinances (including '
all a.:..ndme'r ) pur}A nin^y'0 the license or permit,then this obligation to be vold,,otherwise to remaln In full force and effect ,
for a period commencing on the 20 day of MARCH , M7 , and ending on the ,
20 Elzri of MlARCH 2= , untess renewed by continuation certficete. l
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'his. 53,,:,vy ,ipon sending notice in willing to the Obligee and to the Principal �
,_,n end al tha expiration of thirty-flue(35)days from
:-;y aVPIiIa law. whichever is later, this bond shall terminate and the
awwry onwi uu ieiwveu 1"n uiry.rrtlwrnN aw ary 55u4riir4uwK alias of omissivtU of the PdnCipal..
Dated mis 2Q_clay of MARCH ,20t7
JEFFREY M C ILMUA DLVD OM
Princlpal
Pnndioat ,
Cournersigned W E S T E RN SUR
Not Req _
1 al. uit•ed w�.
it Resftlertt Age Senior Vice PrAdent
ACKNOWLEDGEMENT OF SURETY
STATE OF SOiiT-m DAKOTA (C:o(porme Officer) -
SS
`AUNTY OF MINNEHAHA 1
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710 15v,-fl t.AARCH ,•^the Yew 2007 betwe me,the undersigned other.
-::dad himself to be the aforesa'd officer of WESTERN SURETY ,
-
- - - . . . ... ;. tiwtilodoad 80 to d0. •Iceculett the foregoing instrument for the
INMselr ac a tt SvMcet_
IN WITNESS WHEREOF I have hereunto set my ha:� aP.d uii4clal aea,.
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Niestem Sttteiy Company
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CONTINUATION CERTIFICATE ;
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Western Surety Company hereby continues in force Bond No. 70467769 briefly
described as SIGN PERMIT CITY OF SALEM
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for JEFFREY M rASIGLIA, DMD, DMS
as Principal,
in the sum of$ ONE THOUSAND AND NO/100 Dollars, for the term beginning
March 10 2015 and ending March 10 2016 subject to all
the covenants and conditions of the original bond referred to above.
This continuation is issued upon the express condition that the liability of Western Surety Company
under said Bond and this and all continuations thereof shall not be cumulative and shall in no event exceed
the total sum above written.
Dated this 29 day of January 2015
WESTERN URETY COMPANY
By G Paul
T. Br at, Vice President
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THIS "Continuation Certificate" MUST BE FILED WITH THE ABOVE BOND.
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Form 90-A-8-2012
Western Surety Company
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That WESTERN SURETY COMPANY,a corporation organized and existing under the laws of the State of South Dakota,
and authorized and licensed to do business in the States of Alabama, Alaska, Arizona, Arkansas, California, Colorado,
Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky,
Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New
Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania,
Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia,
Wisconsin,Wyoming,and the United States of America,does hereby make,constitute and appoint
Paul T. Bruflat of Sioux Falls
State of South Dakota its regularly elected Vice President
as Attorney-in-Fact, with full power and authority hereby conferred upon him to sign, execute, acknowledge and deliver for
and on its behalf as Surety and as its act and deed,the following bond:
One SIGN PERMIT CITY OF SALEM
bond with bond number 70467769
for JEFFREY M. CASIGLIA, DMD, DMS
as Principal in the penalty amount not to exceed: $1.000.00
Western Surety Company further certifies that the following is a true and exact copy of Section 7 of the by-laws of Western Surety
Company duly adopted and now in force,to-wit:
Section 7. All bonds,policies,undertakings,Powers of Attorney,or other obligations of the corporation shall be executed in the corporate
name of the Company by the President,Secretary,any Assistant Secretary,Treasurer,or any Vice President,or by such other officers as the
Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint
Attorneys-in-Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company. The corporate
seal is not necessary for the validity of any bonds,policies, undertakings, Powers of Attorney or other obligations of the corporation. The
signature of any such officer and the corporate seal may be printed by facsimile.
In Witness Whereof, the said WESTERN SURETY COMPANY has caused these presents to be executed by its
Vice President with the corporate seal affixed this 29 day of January 1 2015 .
ATTEST WE N SUR COMPANY
By r
L.Nelson,Assistant Secretary Pau/F. Bruflat,Vice President
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STATE OF SOUTH DAKOTA
ss ( �s
COUNTY OF MINNEHAHA
On this 29 day of January 2015 before me, a Notary Public, personally appeared
Paul T. Bruflat and L. Nelson
who,being by me duly sworn, acknowledged that they signed the above Power of Attorney as Vice President
and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged said instrument to
be the voluntary act and deed of said Corporation.
}bb S•vhb4yb55hyby5hb404000+ '/
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fSEAL NOTARY PUBLIC EAS s
s SOUTH DAKOTA s Notary Public'
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My Commission Expires August 11,2016
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PERY.IT MUST BE OBTAIN:!) B_FOM BEGINNING WO-JK
APPLICATION MUST c_ SUBMITTED III DUPLICATE , CFE SET TO E_ FILED WITH THE
?LANNII;G DEPARTMENT, AND ONE SET (E _h-'II;G T-E ?PRDVAL CF THE PLANNING '
DEPART11ENT) TO BE FILED WITH T-_ EUILDII;S INSPECTOR.
'« Location , 0.anership , and Detail Must b Correct , Complete
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f r' � and Legible. Separate ..;.?iicaticn F.eccired for Every Sign.
Application nor Permit to Erect a Sign
Salen, "assechusetts August 4 , ig 89
TO THE GUILDIIIC INSPECTOR:
The undersicned hereby applies for a permit to _ Erect , _ Alter , X Repair
a sign on the following described building :
Cooper' s Garage Zoninc/District
Location and No. 405A Essex St G-t , MA -
Name of Property Owner Cooper' s Realty Trust-
Name
rustDame of Sian Owner
Cooper ' s Realty Trust
ssex reet
Address Salem, MA 01970
If Owner is a corporate body name of responsible officer N/A
Name of Licensed Sign •Erector N/A
Salem
Address License No.
general automotive
Use of Building: 1st Floor repair and office.. 3rd-Floor N/A
2nd Floor N/A 4th Floor N/A
Type of Sion: Surface, Richt Angles to ouildind , Free Standir
Other (specify) Height:
Sicn Materials. N/A
Sion Dimensions
N/A Sian Area
Existing Signs : Surface: Sign Area
Richt Angles : Sign Area
Free-Standino X Sian Area aporox. 5 - 6
Other Sign Area
Signs to be Removed: Type N/A Sign Area
Frontage: Building N/A FT Property
Coone-rr ' s Real. V1 Trust
Name and Address of Signature of Owner
Insurance Company: Donald Koleman, Trustee
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Signature of Owners Authorized Representative
Babcock Insurance, Inc .
200 Broadway, Suite 305.
ynn ie d, t% 01940
Address 328 Essex Street
-
Estimated Cost Salem, MA 01970
of New 'work $50 - $100 Telephone / 7 f
APPROIlAL�: Signature of Property Owne
Donald Koleman"toric
,Trust(
r _ _ oi , n, na Ueoartnent Seer !cent o t ' :ets / �r..m( s
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10434
DONALD KOLEMAN `Y
ATTORNEY AT LAW
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328 ESSEX STREET PH, 508-744-2652
SALEM, MA 01970-3288 53-Wll3
PAYTOTHE (/� 39
ORDER OF ` i 6 `�I�17 I $1
Gfyi
DOLLARS
Watfonal Giand,B=k
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FORyOSA t..�KK'�l/—'/T��---/�JPiY71,1��
II'010430um l:Oii3043001: 1180334 449511'
Salem HiStcrical Corr missEa[I
CITY HALL. SALEM. MASS. ots7o
CERTIFICATE OF APPROPRIATENESS
It is hereby certified that the Salem Historical Commission has
determined that the proposed construction ( ) ; reconstruction (xx) ;
demolition ( ) ; moving ( ) ; alteration (x� ; painting (x) ; sign or other
appurtenant fixture ( ) work as described below in the . . .
McIntire Historic District
(NAME OF HISTORIC DISTRICT)
Address of Property: 405A Essex Street
Name of Record Owner: Cooper' s Realty Trust
DESCRIPTION OF WORK PROPOSED:
New entrance as shown in drawing dated 10/18/89 with Brosco M-1073 door
or similar door in wood. Repaint building existing colors. Paint "1916"
on top portion of building. Removal of clock. Paint "ESSO" in place of
clock. Remove large sign to accomodate door.
will be appropriate to the preservation of said Historic District, as per
the requirements set forth in the Historic Districts' Act (Federal Laws,
Ch. 40C) and the Salem Historical Commission.
Dated: 10/19/89 SALEM HISTORICAL COMMISSION
Chairman
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Salem Historical Commission
CITY HALL. SALEM. MASS. 01970
CERTIFICATE OF APPROPRIATENESS
It is hereby certified that the Salem Historical Commission has
determined that the proposed construction ( ) ; reconstruction ( ) ;
demolition ( ) ; moving ( ) ; alteration ( ) ; painting ( ) ; sign or other
appurtenant fixture (x) work as described below in the . ..
MrTnt ' Historic District
(NAME OF HISTORIC DISTRICT)
Address of Property: 405A Essex St.
Name of Record Owner: Cooper's Realty Trust
DESCRIPTION OF WORK PROPOSED:
Repair and restore sign as follows: Oval, reproduction or perplex Esso sign
conforming to photo provided. To be installed in existing sign pole extension.
Red letters. with white background.
will be appropriate to the preservation of said Historic District, as per
the requirements set forth in the Historic Districts' Act (Federal Laws,
Ch. 40C) and the Salem Historical Commission.
Dated: 9/21/89 SALEM HISTORICAL COMMISSION
Chairman 7—
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`iW %44-2652 rr795-3220
October 25 , 1989
Salem Planning Department
ATTN: ELLEN
One Salem Green
Salem, MA 01970
RE: 405A Essex Street (Cooper ' s Garage)
Dear Ellen:
Pursuant to your request today, enclosed please
find $20. 00 check with regard to the above-referenced permit
application.
Thank you for your attention and courtesy in this
matter.
Very %truly yours,
Deborah A. Borga i ,
Secretary to Donald Koleman
encl .
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Kaor�9�32z0
gay Jo. i-508-741-2423 `
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October 23, 1989
Salem Planning Department
ATTN: ELLEN
One Salem Green
Salem, MA 01970
RE: 405A Essex Street (Cooper ' s Garage)
Dear Ellen:
I am enclosing herewith a copy of the Application for
Permit to Erect a Sign, which I have previously sent to Mr .
Harris of the Building Department; a copy of a drawing of the
front of the building with the dimensions of the proposed
door; and the Historical Commission ' s Certificates of
Appropriateness dated 9/21/89 and 10/19/89.
Would you kindly process this paper work and notify me
if you require anything further at this time in order for me
to obtain the appropriate permits to do the work.
Thank you for your attention and courtesy.
Ve truly yours,
�n
Donald"Koleman/C
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