HomeMy WebLinkAboutChiropractic Neurology Center S113.01SIGN COPY
DATE RECEIVED:
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/01 y SIGN
SIGN
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NAME OF BUSINESS / jra cl�� � ,tl �ro fo &J, PHO y%(, - 2 yY4
ADDRESS: y/3 O/C i �� , ia^j CITY: tnc TATE: J/V ZIP: v4 03 Z..
PROPERTY OWNER /,7y00 6/I jy%,., ala,,, 4 eeC PHONE: kY3-113/
ADDRESS: S/a/ O�� /�'/Cr, �l,k,�, /�ig,}CITY: STATE: T�v ZIP:
4 tr• °10 J /.LC
ZONING DISTRICT: 1W -3 OVERLAY ZONE: 31 421 431 OLD TOWN: YES
,Z9 -99
REQUIRED APPROVALS: Plan Commission Docket/ a-99 AdLS �++ BZA Docket
IS AN IMPROVEMENT LOCATION PERMIT REQUIRED FOR THIS BUILDING/TENANT SPACE-?
IF YES. STATE PERMIT NUMBER ISSUED -
V'6 e3 Z.
NO X
DOCS Only
SIGN TYPE -circle one: ALL GROUND ROOF PROJECTING SUSPENDED PORCH WINDOW OTHER
NO OF SIDES SIGN STATUS -circle appropriate response(s): V EXISTING ERMAIVE TEMPORARY
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OVERALL SIGN HEIGHT FROM GROUND. _1 _FT. OVERALL, SIGN DIMENSIONS: /G / 5"'—Fr Y / 9 FT.
TOTAL SIGN AREA. Requested �s __SQ. FT Permissible 7 SQ. FT. COLORS:
BUILDING OR TENANT SPACE FRONTAGE DIMENSION. vZ Sr FT
SETBACK OF SIGN FROM NEAREST RIGHT -OF WAY.
LOGO DIMENSIONS: _ __ _ _ , LOGO IS
ARE THERE ANY EXISTING SIGNS ON THIS SITE? IF YES, EXPLAIN NO
BUILDING TYPE:
PERCENT OF .ALLOIA ANCE SIGN AREA
SHOPPING CENTER OR COMPLEX NAME /.Z y00 Q!C �%f,••✓ G�, Q,� !�c Ll��� �'�e� /7
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.
I WOULD PREFER A�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 and proposed sign location)
* SIGN ELEVATIONS (depicting all dimensions, copy and color) !�
* BUILDING OR i'ENANT SPACE ELEVATION (depicting frontage dimensions andro sed sign AST'
P Po P� vocation) • VVV»+
* LANDSCAPE PLAN Req
.ured for ground signs (depicting the planting, manure lie, ghts and caliper) r
* See Samples Attached'
SIGN PERMIT FEES � �j,� '" • � •UV . �r,
PERMIT APPLICATION....... ....... d d� I•�j6 ,�
SIGN ERECTION ... ; 'me�- PER SIGN FACE PLUS S PER SQUARE FOOT OVER 32 SQUARE FEET
-REPLACEMENT OF SIGN FACE IN AN EXISTING CABINET ... S PLUS S�.4`PER SQUARE FOOT OVER 32 SQUARE FEET
0,$•0 .01.50 (Continued On Page 2)
Age 2of2
Carmel/Clay Sign
Permit Application
THE UNDERSIGNED CERTIFIES THAT THE FOREGOING SIGNATURES, STATEMENTS 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 STATE OF INDIANA, AND THE
ZONING ORDINANCE OF CARMEL/CLAY TOWNSHIP, INDIANA AND ALL ACTS AMENDATORY THERETO. AND SHALL BE
ERECTED WITHIN SIX (6) MONTHS OF THE DATE OF ISSUANCE OR THIS PERMIT IS NULL AND VOID.
FURTHER, THE UNDERSIGNED CERTIFIED BY SIGNING THIS APPLICATION THAT ALL REPRESENTATIVES BY THE
DEPARTMENT OF COMMUNITY SERVICES ARE ADVISORY.
PR TY OWNER'S SIGNATURE
BUSINESS OWNER'S SIUNATURE
CI rail ���s,f_ _— �f-'�"�^�o,J �" [,_ .SE � - L
PROPERTY WNER'S NAME (PLEASE PRINT) BUSINESS OWNER'S NAME (PLEASE PRINT)—
SIGN COMPANY: �.� /�-�icrnvl CONTACT PERSON ,, All PHOS7r lftr'—
ADDRESS: 616 CITY STATE, -7A'/ -zip. V6 OyZ
THE FOLLOWING ITEMS ARE CONCERNS BY STAFF OR PRIOR COMMITMENTS THAT Mt'ST BE ADHERED TO AS A
CONDITION OF THE ISSUANCE OF THIS PERMIT (PLEASE INITIAL EACH ITEM INDIVIDUALLY)
1) x
3) x
4) x
5) x
SIGN PERMIT APPLICATION S 5•
SIGN ERECTION - Improvement Permit $ L $. f" �9•
90.E
INSPECTION FEE (Required if photography not provided) OR e provided
TOTAL FEE S 6ya • &V
PERMIT ISSUED BY. AtUX/ FEE RECEIVED BY
RELEASED STAMP:
RELEASED FOR CONSTRUCTION
Subject to compliance %ay!th all PRe4gUla?I0ra:►
of State and Loral 01,e; S
DEFT OF COMP0 I ITT SES 7 'F -S
CITY OF CARMEL ] CLAY -i OWNSHiP
INDIANA
s: \sign\appl
revised 10/97
PAID STAMP:
JUL 2 6 2001
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