HomeMy WebLinkAboutApplication TACDOCKET NO. TAC DATE RECEIVED:
For Department Use Only
TECHNICAL ADVISORY COMMITTEE
APPLICATION & PROCEDURES
�Q s ra r
^Fee: $353.00
Property Information
Tax Parcel ID*: 16-14-08-00-05-004.000 Area (acres): +/- 3.74 acres
Property Address: Northeast corner of 96th Street and Randall Drive
Zoning District: B-3 Business Overlay District (If applicable): NA
Legal Description: (To be typewritten separately.) - See attached for legal description
* Please attach a separate list for projects with multiple parcels.
Attorney Information
Name:
Nelson & Frankenberger, LLC: Jim Shinaver and Jon Dobosiewicz
Address: 550 Congressional Blvd., Suite 210, Carmel, IN 46032
Phone: 317-844-0106 Fax: 317-846-8782
Email Address: j ims@nf-law. com and j on@nf-law. com
Engineer Information
Name: American Structurepoint, Inc.: Brad Schrage, PE, LEED AP
Address:7260 Shadeland Station, Indianapolis. IN 46256
Phone: 317-547-5580 Fax:
Email Address: BSchrage@structurepoint.com
Owner Information
Name: DYC Realty, LLC
Address: 7399 Shadeland Avenue, #166m Indianapolis, IN 46250
Phone Day: Evening:
Email Address:
Project Description
Please include a brief summary/history of the project:
See Ex. D Project Summary
Affidavit: I, hereby swear that I am the owner/contract purchaser of property involved in this application and that the foregoing signatures, statements
and answers herein contained and the information herewith submitted are in all respects true and correct to the best of my knowledge and belief. I, the
undersigned, authorize the applicant to act on my behalf with regard to this application and subsequent hearings and testimony.
See Exhibit B Applicant Consent
Signature ofOwner:See Exhibit C Owner Consent Date:
(Printed Name)
Page 1 of 2 Filename: TAC -only 2018, revised: 1/24/2018