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VIDEO PARADISE SALEM REDEVELOPMENT AUTHORITY DESIGN REVIEW BOARD SIGN APPLICATION 4 S- 310 Applicant.Name (d ec) N r 0 dj SL. (A SG f rl) Name Tel. It' Date of Application Location of Building a0l �1 11)qhy) 1�4 Number Stjeet e- Owner of Building__ Sign Designer 011cf– 0(q I(\ 6 �s Name Designer Sign Type (Check morethan one if necessary) Wall Temporary-�� Protecting�_ Banner Window Mechanical movingL_ Historic Bldg. sign__ Other Sign Illumination Internal Bare Bulb Indirect-;� Other None 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 4. Method of attachment 5. Method of lighting� 6. Location of sign on building: Drawing_ Polaroid Technically conforms S.R.A. staff Approval recommended D.R.B. member Date approved—