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HomeMy WebLinkAboutApplication flflTfl CITY OF CARMEL BOARD OF ZONING APPEALSZ019 I►r 4. SPECIAL EXCEPTION APPLICATION -Short Term Residential Rental Units Fee: $102 for first year, $51 for annual renewal Office Use Only DOCKET NO. DATE RECEIVED: Renewal? Previous Docket No(s). APPLICANT/OWNER INFORMATION: 1) Applicant/ Permanent Resident*: �AL a/ 4 5 ( ©L I 1-t 2_ Address: (Oit2 A- 1.41!/x£ Applicants must be a Permanent Resident(may be an owner or lessee) of the proposed Short Term Residential Rental Unit. Initial applicants shall have occupied the Dwelling for at least sixty(60) consecutive days with intent to establish the Dwelling as their primary residence. Renewal applicants shall have occupied the unit for at least two hundred seventy five (275) days of the proceeding calendar year. 2) Project Name: 041x. I44 l"W' / 0-164 Attorney or Contact Person: r 1Phone: Email: `{"011'�V&s(/OC�IC�LSI.VI e f_ Fax: 3) Applicant's�anStatus: (Check the appropriate response) LTJ (a) The applicant's name is on the deed to the property (b) The applicant is the contract purchaser of the property (c) Other: 4) If Item 3) (c) is checked, please complete the following: Owner of the property involved: t/f 19(4/6 A- ( G _ Owner's address: Phone: 5) Is the property: Owner occupied Renter occupied Other 6) Record of Ownership: Deed book No./Instrument No. Page: Purchase Date: PROPERTY INFORMATION: r 7) Common address of the property involved: GAZ fill tt, he E2 V Legal description: / //� Tax Parcel ID No.: /6 —`v 0 0 Z ? # /(7/. 000 8) Zoning District: R. `(7.— Overlay Zone (if applicable): 9) Present use of the property: .S)n,le 14 n,t,.� /`e f{ i.1 4 10) Approximate size of lot/parcel in question: ' acres Page 1 of 12 Filename:special exception application&instructions 2019 rev. 12/6/18 11) Are there any restrictions, laws, covenants, variances, special uses, or appeals filed in connection with this property that would relate or affect its use as a short term residential rental unit? If yes, give date and docket number, decision rendered and pertinent explanation. SPECIAL EXCEPTION PROPOSAL: Note that Special Exception approval is not necessary for specific dates(up to 30 days per calendar year) on which the Mayor has suspended the requirements of UDO Section 5.72. See annual Council Resolution for more details. 12) State explanation of requested Special Exception (e.g. proposed time period(s), intent to rent an individual room(s) or the entire Dwelling). !.O! 5 i 0.0,-1 5 1:01* -/—et (.4%f..4JX __6tvaAra ofrt--[ 13) State reasons supporting the:Special Exception: (Additionally, complete the attached question sheet entitled "Findings of Fact-Special Exception"). SPECIAL EXCEPTION ELIGIBILITY: 14) Permanent Residence Verification: Please provide a copy of at least two (2) of the following showing that the proposed Short Term Residential Rental Unit is listed as th plicant's residence. ❑ / Motor Vehicle Registration Tax Record showing standard homestead credit ,)( 1,/ � Driver's License Utility Bill ❑ Voter Registration 15) Registered Retail Merchant Certificate: 16) G (Initial) If the proposed special exception is granted, the applicant agrees to post a clearly printed sign on the inside of the front door of the Dwelling that provides information regarding the location of any fire extinguishers and any utility shut-off valves, fire exits or pull fire alarms. 17) Emergency Contact Information: List primary and secondary emergency contact information for use while the dwelling is used as a short term residential rental unit. Information to be shared with the Carmel Police Department if the special exception is granted. PRIMARY EMERGENCY CONTACT SECONDARY EMERGENCY CONTACT Name: Name: Address: Address: Phone: Phone: Email: Email: . • The applicant understands that docke - mber not be assigned until all supporting information has been submitted to the Department of Community S= e.. Applicant Signature: d , L Date: c-704640(q The applicant certifies by si..A•g this application that he/she has been advised that all representations of the Department of Community -rvices are advisory only and that the applicant should rely on appropriate Unified Development Ordinance and/or the legal advice of his/her attorney. Page 2 of 12 Filename:special exception application&instructions 2019 rev. 12/6/18 NOTE: Three modes of public notice are required. LEGAL NOTICE shall be published in the newspaper according to the Chart on page 5 a MANDATORY 10 days prior to the public hearing date. The certified "Proof of Publication" affidavit for the newspaper must be available for inspection the night of the hearing. Published Notice is not required for renewal applications. LEGAL NOTICE to all adjoining and abutting property owners is also MANDATORY, two methods of notice are recommended: 1) FIRST CLASS MAIL with CERTIFICATE OF MAILING sent to adjoining property owners. (The white receipt should be stamped by the Post Office at least 10 days prior to the public hearing date.), OR 2) HAND DELIVERED to adjoining and abutting property owners (A receipt signed by the adjoining and abutting property owner acknowledging the 10 day notice should be kept for verification that the notice was completed) LEGAL NOTICE via a Notice of Public Hearing SIGN posted on the property is also required; see page 8. REALIZE THE BURDEN OF PROOF FOR ALL NOTICES IS THE RESPONSIBILITY OF THE APPLICANT. 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. Signed Name: �; / ^, (Property Owner, Attorney, • 'ower of Attorney) Printed Name: .on S C - STATE OF INDIANA, COUNTY OF r 1rincit Ink) , SS: The undersigned, having been duly sworn, upon oath t the,./41* information is true and correct as he is informed and believes. ! �C (Sigma 7oner) Subscribed and sworn to before me this 2 , day of 20/ f KiGq.1,0-AgeOart14-ilat) otary Public- Signatyrp INotary Public— Printed Name My Commission Expires: 1 0/39 l2 02.( . Monica Rene Thurman-Burns Notary Public Seal State of Indiana Marion County My Commission Expires 10/09/2021