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; i , JAN 2 82 12
ADLS / ADLS Amendment Application
(ARCHITECTURE, DESIGN, LIGHTING/LANDSCAPING, and SIGNAGE)
ADLS Fee: $1,070 (plus$141/acre when not accompanied by a Development Plan App.)
ADLS Amend Fees: Sign only: $109,plus$27/sign
Building/Site: $711,plus$68/acre
(Fees are due after the docket number is assigned.)
utwe-
Date: a/is-Ag ` ',' dV� Docket No.
f ADLS ',,�0 ' D200 ffADLS Amend
ElDP Attached Previous DP? Yes❑NL
Name of �- ,� I
Project: hilt, t- ITS E
Type of
Project: P/4"+<'i0 ( aVeltete" Ao
Project /
Address: 35-0 V lra 5 gu / -0 L Ct e763 a
Project Tax Parcel ID#:
Legal Description: (Please use separate sheet and attach)
Name of ,, ^
Applicant: C T,**tt- L(�
Applicant Address: /5 3Fs DEAd1/41(Zd Ect N D2- 4J t ces out IN `7 k-06- a
Contact Person: OVA Phone: 317-62,a(9-370
Email: -Or/k•Lteitezc. l •co'- '-
Name wof1SO ,J`® / L ac
Landowner: /"'� ��"" l � ,✓ Phone: /�,,p �+
Landowner Address& Email: (,C W,C. 1(�Ni . 1/ N4 i-/(y 0 0 S I 4 5
Plot Size: Zoning Classification: Overlay Zone: , + ` 00
Present Use of Property : 319 S r gW C3/'IitA , 71 i11� cP6 •
Proposed Use of Property: izecf,wtOV --- b vJJA y
New Construction? Yes X No[l New/Revised Sign? Yes No
Remodeled Construction?: Yes No XI New Parking? Yes❑No El
New Landscaping? Yes[l NoX1 (If Yes, an engineered and to-scale Landscape Plan must be
submitted; see below.)
1
Revised: 1/24/2018 Filename: ADLS&ADLS Amend 2018
PARKING
No. of Spaces Provided: No. Spaces Required:
((1� DESIGN INFORMATION
Type of Building: QD� vo`I(,L'hS No. of Buildings: I
c(J
Square Footage: ; �-1 p. � Height: '7 !�iaeNo.of Stories 77
Exterior Materials: gr G
Exterior Colors: lgr0 W fl Maximum No.of Tenants:
Type of Land Uses: ll�
Water by: Sewer by:
LIGHTING
Type of Fixture: Height of Fixture:
No.of Fixtures: Additional Lighting:
*Plans to be submitted showing Foot-candle spreads at property lines,per the
LANDSCAPING
ordinance.
*To-scale engineered Landscape Plans to be attached/submitted showing plant types,sizes,and
locations.
SIGNAGE jV��� f 0 ,�
No. of Signs: Type of Signs: J 11-6
Location(s): VOr4 Wc-S t S I\ � S'vw S
Dimensions of each sign: Eb
Square Footage of each sign: '� `c'`W1'LI . P O
Total Height of each sign:
Colors of each sign:
2
Revised:1/24/2018 Filename: ADLS&ADLS Amend 2018
AFFIDAVIT
I the undersigned,to the best of my knowledge and belief,submit the above information as true and correct.
Signature of
Applicant: Title: pht.r —
0pCerAKO Date: Vol-14/1 /
(Printed Name) lli
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STATE OF INDIANA
SS:
The undersigned,having been duly sworn upon oath says that th above i•fo ion is true and correct and he
is informed and believes. C� //
(Signature of Petitiy
County of ikmt L--�m.v-$ Before me the undersigned,a Notary Public
(County in which notarization takes place)
forCounty, State of Indiana,personally appeared
(Notary Public's county of residence)
Otta.A5 LD e"1 and acknowledge the execution of the foregoing
(Property Owner,Attorney,or Power of Attorney)
instrument this 2 4 day of -`4c-•3 ,20 1
(day) (m o l � �(y ear)
Notary Public--Signature
— — — — — — —
1 JAMBE MooRE4
Seal
Notary Public--Please Print
Notary Public-State of Indiana
' Delaware County
My commifsion Expires Aug t1,2023 ` My commission expires:
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3
Revised: 1/24/2018 Filename: ADLS&ADLS Amend 2018