NEW CONSSTRUCTION SALEM REDEVELOPMENT AUTHORITY W eD 3oAe 61 1200
DESIGN REVIEI-�' BOARD
Avplication for Des��uvro�v��l - OTHER THAN SIGNS
1 Date of Application Ru4
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2. Location of Buildin--J—O-QjqL-t�I AS 4-0 S4-
Number and -9treet
Proposed work impacts upon --Derby Square Historic area, area,
—Essex Mall, —North residential area, —Peripheral area,
,k Significant historic bldg. (Itemize)
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3. Cwner�70 4U1qSt11"%40 � 2- 0//a
Name Telephone Number
,�-o I?Aitov) S4. i3eVeI21V
Address
4. Architect*/Engirleer*/ Other Cc
Name
S-0 A-1 40 o 0 P
Address Telephone Number
5. Type of Improvement -.L. New construction —Alteration —Demolition
Site work —Addition
—other
6. Reason for Request —Security —Change of use —Energy conservation
—Change of image —Safety __,L,_Change of business
Other
7. Level of Approval Requested —Concept —Schematic design
_,Ajinal design —Field decision
Applicant must attach 3 copies of all schematic sub�issions (or in the case of
originals, models, or mock ups, the original and two photos of the submission)
24 hours prior to the regularly scheduled DRB meeting 'to SR-k staff.
(Do not write below this line)
Number of DRB members in attendance — The vote was unanimous. Yes No
DRB recommended action: Approval as submitted —No action, advisory only
—Resubmit to DRB action, inadequate
submission
_____,kpproval subject. to the following:
DRB comments are attached. r is required for all constru ction
A licensed professional architect or enginee
other than ordinary repairs (p. 71 S.B.C.) or performed on a building less than
35,000 cu. ft- enclosed space.
--*If, in the appl-cant' s view, the change is of significant economic importance,
information including financial figures where applicable should be supplied on
a separate attached sheet which will allow the Board to evaluate the proposal
intelligently.
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