HomeMy WebLinkAboutPenske Chevrolet S12.0201/02/02 12:10 0208 336 9886 IMAGE NATIONAL
-SIGN COPY
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I CUM THAT A PICTUBB OF TiRS SIGN MM BE SUyjpaTTED TO T)M DEPARTJI+iW Cr
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THE STAOF TIM DapARTMBNT Op COMMUNITY SERVICES TAIMM THIS p C?M,
2 COPIES OF THE FOLLOWING DOCUMMATION ARE REQUIRED FOR TIE R$VIBW OF
PERMI':
COMMETE0 APPLICATION
• SIGN ELEVATIONS (de Eft a dWms m, copy and cdbO
* BUILDING OR TENANT SPACE ELEVATION (depicting bomp dimerm al Md Ft"oeed sign lo�tosl)
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SIGN PERMIT FW.-
-PIIRW APPLICATION ..................... $25.01D
•SIGN BItECTION ............................. $20.00 PER SIGN FACE PLUS 51,M PER SQUARE FOOT OYU 32 SQUARF p=T.
'REU�NT OF SIGN FACE IN AN MM -MG CABINET .... $25.00 PLUS 51.00 PER SQUARE FWr pyo T3
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Permit Application
THE UNDERSIGNED CERTIFIES THAT THE FOREGOING SIONATUM, STATEMEN'T'S AND ANSWERS HEREIN CONTAINED
AND THE INFORMATION HEREWITH SUBMITTED ARE IN ALL RESPECTS TRUE AND CORRECT, AND THIS SIGN WILL BE
ERECTED AND MAINTAINED IN ACCORDANCE WITH ALL APPLICABLE LAWS OF THE STAT')✓ OF INDIANA, AND THE
ZONING ORDINANCE OF CARMI;I./CLAY TOWNSHIP, INDIANA AND ALL ACTS AMENDATORY THERETO, AND SHALL BE
ERECTISD IUMIII►f SIX (6) MONTHS IS OF THB DA'L'E OF ISSUANCE OR THIS PERMIT IS NULL AND VOID.
FURTHER, THE UNDERSIONED CERTIFI$D BY SIGNING THIS APPLICAVON THAT ALL REPRESENTATIVES OP TIM
DEPARTMENT OF COMMUNITY SERVICES ARE ADVISORY.
ERTY OWNERSS GNATURE ESS OWNER: IONA UREE
PROPERTY 0WN$R'9 NAME PLEASE PRINT) BVSINF.SS OWNE'R'S NAME (PLEASE PRINT)
SIGNCOWANY; "'MACE- �3AT%pkjA_L TUCONTACrPERSON OMY APAr�Kom.(Zo,,%@:';Z-N33
ADDRESS: -E: Am CITY: I3f3 f ,_... STATE: TD- zip..
TH5 FOL160WINO ITEMS ARE CONCERNS BY STAFF OR PRIOR COMMITMI~ M THAT MUST BE ADHERED TO AS A
CONDITION OF TM ISSUANCE OF THIS PERMIT (PLEASE INITIAL EACH ITEM INDIVIDUALLY);
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SIGN PERMIT APPLICATION
SIGN MCTION - lurprovcmcnt retngit
INSPECTION PER (Required if photography not provided)
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$40.00 OR oto will
TOTAL FEE $
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PERMIT ISSUED BY: FEE RECEIVED BY:
RELEASED STAMP: PAID STAMP:
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