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INDIANA SIGN PERMIT APPLICATION DATE RECEIVED: PERMIT NUMBER: NAME OF BUSINESS -C~ ~ PHONE: 8\ 7 - nt{-,-13?6 ADDRESS: lO~i5"' ~.tf'/\)M;1(/.A/Vr/1.J...- CITY: CatrveJ.- STAT;:tnLZIP~2. PROPERTY OWNER .Jp ~CV"-- C~~ PHONE(3t,-9j..j;(77 ADDRESS:--l e. O~O &f. CITym~~hS STATEj)'U ZIP:C{{:2.cI:{: ZONING DISTRICT: OVERLAY ZONE: 31 421 431 OLD TOWN: YES _ NO REQUIRED APPROVALS: Plan Commission Docket # BZA Docket # IS AN IMPROVEMENT LOCATION PERMIT REQUIRED FOR THIS BUILDINGffENANT SPACE? IF YES, STATE PERMIT NUMBER ISSUED SIGN TYPE-circle one: E;:> GROUND ROOF PROJECTING SUSPENDED PORCH WINDOW OTHER NO. OF SIDES --l-- SIGN STATUS-circle appropriate response(s): NEW EXISTING PERMANENT TEMPORARY OVERALL SIGN HEIGHT FROM GROUND: _I A \. Fr. OVERALL SIGN DIMENSIONS: {Y:..' 3fcf' ~T. x ~ \. FT. TOTAL SIGN AREA: Requested ~q.i\\ SQ.Fr.Permissible {;D SQ.Fr. COLORS: ~~ ~Ff\ . D ^}{~ I/...L l~. .--- BUILDING OR TENANT SPACE FRONTAGE DIMENSION: ~Oc> BUILDING TYPE: t)('U~~ qo' DOCS Only _ SETBACK OF SIGN FROM NEAREST RIGHT -OF-WAY: nll\.l r"'"' l'l\..l. LOGO DIMENSIONS: ~ ~ ~ I FT. ARE THERE ANY EXISTING SIGNS ON THIS SITE? IF YES, EXPLAIN , LOGO IS I. ~ PERCENT OF SIGN AREA ~ D/t-e:ctJ~ SHOPPING CENTER OR COMPLEX NAME: Y I CERTIFY THAT A PICTURE OF THIS SIGN WILL BE SUBMITTED TO THE DEPARTMENT OF COMMUNITY SERVICES WITHIN ONE (1) WEEK AFTER ERECTION OF THE SIGN. -OR- I WOULD PREFER A $93.50 INSPECTION FEE BE ADDED TO THE COST OF THIS PERMIT TO COVER THE COST OF THE STAFF OF THE DEPARTMENT OF COMMUNITY SERVICES TAKING THIS PICTURE. TWO COPIES OF THE FOLLOWING DOCUMENTATION ARE REQUIRED FOR THE REVIEW OF THIS SIGN PERMIT: * COMPLETED APPLICATION * SITE PLAN (depicting all dimensions, setbacks;:lIld proposed sign location) * SIGN ELEVATIONS (depicting all dimensions, copy and color) * BUILDING OR TENANT SPACE ELEVATION (depicting frontage dinlensions and proposed sign location) * LANDSCAPE PLAN: Required for ground signs (depicting the planting, mature heights and caliper) * See Samples Attached SIGN PERMIT FEES: -PERMIT APPLICATION ........................... $77.25 -SIGN ERECTION ....................................... $30.90 PER SIGN FACE PLUS $1.65 PER SQUARE FOOT -REPLACEMENT OF SIGN FACE IN AN EXISTING CABINET--$30.90 PLUS $1.65 PER SQUARE FOOT (Continued On Page 2)