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APPLICATION FOR /
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PRIMARY PLAT OR REPLAT Docs
DATE: DOCKET NO. • _ g
The undersigned agrees that any construction, reconstruction, enlargement, relocation or alteration
of structure, 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 "Zoning Ordinance of
Carmel, Indiana - 1980", 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.
Name of Applicant: Sean J. Depen Phone No. 317-575-2350 X 210
Address of Application: 116th St. and Shelburne Road, Carmel IN
Name of Owner: Pulte Hanes of Indiana/Contract Purchaser Phone No. 317-575-2350 X 210
Name of Subdivision: Parkside Preserve
Legal Description: (To be typewritten on separate sheet and attached)
Area (in acres): 119.6 Number of Lots: 150 Length (in miles) of new
streets to be dedicated to public use: 1.90 • .
Surveyor certifying plat: Dennis K. Singer, Paul I. Cripe, Inc.
Address: 7172 Graham Road, Indianapolis; IN 46250 Phone No. 317-R42-6777
STATE OF INDIANA, COUNTY OF , SS:
The undersigned having been duly sworn, upon oath says that the above information is true
and correct as he or she is informed. believes.
SIGNATURE OF APPLICANT: _ _ _ Print:'AN i P ( N
1 �
Subscribed and sworn to before me this /S day of -7;i'22� , l4 2.40W;,'p SALLY A RATLIFF o0
•
'"'-•'• Notary Public State of Indiana
; ;� Hamilton County Notary Public
My Commission Expires: My Commision Exp.NOV.2,2007
477 OO7
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5.1.10 Application for Primary Plat. Two (2) copies, or more if necessary, of the primary
plat and of the construction plans together with supporting documents shall be submitted to the
Building Commissioner with this application and the application fee as indicated in Section 29.6 of the
Zoning Ordinance. These plans to be distributed to necessary authorities by applicant.
FEE: Received by: