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CITY OF SALEM, MASSACHUSETTS LICENSING BOARD 93 WASHINGTON STREET 2nd FLOOR SALEM, MA 01970 GARY M. BARRETT, CHAIRMAN TEL. [PHONE REDACTED] EXT. 41504 GARY SANTO, JR. FAX. [PHONE REDACTED] DEBORAH GREEL DOMINICK PANGALLO MAYOR MELISSA MOJICA, CLERK OF THE BOARD SGT. MIKE BALL SPECIAL INVESTIGATOR TO THE BOARD 2023 ENTERTAINMENT LICENSE APPLICATION (Under section 183A, Chapter 140 of the General Laws) Date: Name of Address: Type of Business: Type of Entertainment: **ALL FORMS OF AMUSEMENT AND ENTERTAINMENT INCLUDING RADIO, MUSIC IN ANY FORM, TELEVISION, JUKE BOXES, ETC., REQUIRE LICENSING UNDER THE ABOVE SECTION. YOU MUST LIST SPECIFICALLY WHAT HAS BEEN APPROVED BY THE LICENSING BOARD. (certain forms of entertainment also need an Automatic Amusement License.) **IF THE ABOVE APPLICANT IS A CORPORATION THAN THE APPLICATION MUST BE SIGNED BY A CORPORATE OFFICER. Fee - $100 Payable to: Print The City of Salem Phone Email: