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Application DP ADLS
D E V E L O P M E N T P L A N / D P A M E N D M E N T A P P L IC A T IO N Fee*: $1,070 plus $141 per acre D A T E : 06/19/2019 D O C K E T N O . PZ l 9030003 (C heck all that apply) [{] D P D D P A m end N f P . t Riverview Health US 421 am e o roJec : -------------------------------- . dd 10830 N. Michigan Road Project A ress: --------------------------------- 0 A D L S/A D L S A M E N D Attached Project T ax Parcel ID #: 17-13-06-00-00-030.103 L egal D escription : (Please use separate sheet and attach) N f 1. EQ 106 Michigan, LLC by Faegre Baker Daniels LLP am e o A pp icant: _ A 1. dd 600 East 96th Street, Suite 600, Indianapolis, IN 46240 pp icant A ress: _ C ontact Person : _M_a_r_k_L_e_a_c_h Telephone: 317 ·569.4851 E m ail: mark.leach@faegrebd.com N f L d Nottingham LLC am e o an own er: Telephone: _ L d dd 10650 N. Michigan Road, Zionsville, IN 46077 an ow ner A ress: ------------------------------- Pl S . 1.99 acres +/- 8-3 ot 1ze: Z oning Classifi cation: _ 0 1 US 421 Corridor Overlay ver ay Zone:---------------------------------- undeveloped Present U se of Pro perty : _ P d U f P commercial healthcare facility ro pose se o. ro perty: _ *N ote that required fe es are due after the application has received a docket num ber, and not at the tim e of application su bm ittal. Page I Filename: DP - DP Amend Application 20 I 8 Rev. l /24/2018 OW NERS AFFIDAVIT The undersigned agrees that any construction, reconstruction, enlargement, relocation or alteration of structures, or any change in the use of land or structures requested by this application will comply with and conform to all applicable laws of the State of Indiana and the Unified Development Ordinance of Carmel, Indiana, adopted under the authority of Acts of 1979, Public Law 178, Sec. 1, et seq., General Assembly of the State of Indiana, and all Acts amendatory thereto. Signed: Own er (Typed/Printed) -~----------==------ Agent Steven D. Hardin, Partner, Faegre Baker Daniels LLP (Typed/Printed) ************************************************************************************* ST A TE OF INDIANA SS: The undersigned, having been duly sworn upon oath says that the above information is true and correct and he is informed and believes. (Signature of Petitioner) County of __ ~/J,_11ffl~_{(_ic_<!?] _ _.,_ Before me the undersigned, a Notary Public (County in which notarization takes place) for --~~-BmL-'-L-~t~f_f~~"-~f----------- County, State of Indiana, personally appeared (Notary Public's county of residence) __ S~_f-_e_ue__~V~\~~~--+-H_O(_d_c_u1~· and acknowledge the execution of the foregoing (Property Owner, Attorney, or Power of Attorney) instrument this __ )_9 day of ~L./1<12 (day) (m onfh ,20" (year) Notary Public--Please Print My commission expires: -------------------- .,.J Page 2 Filename: DP - DP Amend Application 2018 Rev. 1/24/2018 A D L S I 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.) Date: 3/22/2019 [Z]ADLS ! ./ !op Attached Docket No. _ D ADLS Amend Previous DP? Yes0 Nd ./ I Name of Riverview Health (Michigan Road) Project:-------------------------------- Type of commercial healthcare facility Project: _ Project O N. Michigan Road Address:-------------------------------- Project Tax Parcel ID #: 17-13-06-00-00-030.003 Legal Description: (Please use separate sheet and attach) Nam~ of EQ 106 Michigan, LLC by Faegre Baker Daniels LLP Applicant: _ 600 East 96th Street, Suite 600, Indianapolis, IN 46240 Applicant Address: _ Contact Person: Mark Leach Phone: 317.569.4851 Email: mark.leach@faegrebd.com Name of Nottingham LLC Landowner: Phone: _ 10650 Michigan Road N, Zionsville, IN 46077 Landowner Address & Email: _ Pl S. 1.9 +/- acres . Cl if . B-3 0 1 z US 421 Corridor ot 1ze: Zonmg assi ication: ver ay one: _ undeveloped Present Use of Property: _ P d U f P t commercial healthcare facility ropose se o roper y: _ New Construction? Yes!./ !NoD New/Revised Sign? Yes I ./ I NoD Remodeled Construction?: Yes O No! ./ ! New Parking? Yes!./ !No O New Landscaping? Yes! ./ ! NoD (If Yes, an engineered and to-scale Landscape Plan must be submitted; see below.) 1 Revised: 1/24/2018 Filename: ADLS & ADLS Amend 2018 P A RK IN G No. of Spaces Provided:_8_2 _ No. Spaces Required: _ DESIGN INFORMATION T fB .1d. IBC Type 11-B f .1d. 1 ype o m mg: No. o Bui mgs: _ 10,811 . 26'3 15 Square Footage: Height: No. of Stories_· __ . . EIFS, brick, limestone, cast stone, glass, aluminum Exterior Matenals: ------------------------ E . e I red brick, stone M . N fT 1 xtenor o ors: aximum o. o enants: ------------ ----- T fL d U commercial healthcare facility ype o an ses: _ W t b City of Carmel s b Clay Township Regional Waste District a er y: ewer y: _ 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. No. ofSigns:_8 _ two per facade Location(s): _ SIGNAGE T rs: wall signs ype o 1gns: _ Main Logo: 25' x 2'-6"; "Urgent Care ... ": 31' x 1'-8" Dimensions of each sign: _ Main Logo: 62.5 sf; "Urgent Care ... " : 51.6 sf Square Footage of each sign: _ (see dimensions above) Total Height of each sign: _ f h . blue logo, white letters Colors o eac sign: _ Revised: l /24/20 I 8 Filename: ADLS & ADLS Amend 2018 2 AFFIDAVIT I the undersigned, to the best of my knowledge and belief, submit the above information as true and correct. Signature of Applicant: -.::=-- __ __.::_ _ Steven D. Hardin (Printed Name) T. 1 Partner 1t e: -------------- Date:March 22, 2019 ************************************************************************************* STATE OF INDIANA SS: The undersigned, having been duly sworn upon oath says that the above information is true and correct and he is informed and believes. (Signature of Petitioner) ?I -- County of Hamilton Before me the undersigned, a Notary Public (County in which notarization takes place) for \--io ro,0-.,0 (Notary Public's county ofresidence) County, State of Indiana, personally appeared Steven D. Hardin and acknowledge the execution of the foregoing --------------------- (Property Owner, Attorney, or Power of Attorney) instrument this 22nd (day) day of_M_ar_c_h ., 20_19 _ (mon~)¿~ Notary Public--Signature ©reßJ\a 'Q k,C) \ lQG("'\ Notary P~blic--Please Print My commission expires: \- 255: - 202c:..o ************************************************************************************* Revised: l /24/20 I 8 Filename: ADLS & ADLS Amend 2018 3