HomeMy WebLinkAboutApplication DP Page 1 Filename: DP - DP Amend Application 2018 Rev. 1/24/2018
DEVELOPMENT PLAN / DP AMENDMENT APPLICATION
Fee*: $1,070 plus $141 per acre
DATE: _________________ DOCKET NO.___________________
(Check all that apply)
___ DP ___ DP Amend ___ ADLS/ADLS AMEND Attached
Name of Project: ___________________________________________________________________________
Project Address: ____________________________________________________________________________
Project Tax Parcel ID #: __ __ - __ __ - __ __ - __ __ - __ __ - __ __ __ . __ __ __
Legal Description: (Please use separate sheet and attach)
Name of Applicant: _________________________________________________________________________
Applicant Address: _________________________________________________________________________
Contact Person: ______________________________________________Telephone: _____________________
Email: __________________________________________________________________________
Name of Landowner: __________________________________________ Telephone: ____________________
Landowner Address: ________________________________________________________________________
Plot Size: ________________________ Zoning Classification: _______________________________________
Overlay Zone: ______________________________________________________________________________
Present Use of Property: _______________________________________________________________________
Proposed Use of Property: ______________________________________________________________________
*Note that required fees are due after the application has received a docket number, and not at the time of
application submittal.
Page 2 Filename: DP - DP Amend Application 2018 Rev. 1/24/2018
OWNERS 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: ____________________________
Owner
______________________________
(Typed/Printed)
_________________________
Agent
______________________________
(Typed/Printed)
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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)
County of _______________________________________Before me the undersigned, a Notary Public
(County in which notarization takes place)
for __________________________________________ County, State of Indiana, personally appeared
(Notary Public's county of residence)
____________________________________________ and acknowledge the execution of the foregoing
(Property Owner, Attorney, or Power of Attorney)
instrument this ____________ day of ___________________________________, 20_________.
(day) (m onth) (y ear)
_______________________________________
Notary Public--Signature
(SEAL)
________________________________________
Notary Public--Please Print
My commission expires: ____________________________________________
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