HomeMy WebLinkAboutApplicationCARMEL BOARD OF ZONING APPEALS
SPECIAL USE / SPECIAL USE AMENDMENT APPLICATION
Filing Fee: $1,099 plus $144 per acre
Office Use Only
DOCKET NO. nn�
1) Applicant: lAIZM e_ 5- 4WIL
Address: 5201 E- Mptll,l `3l.
DATE RECEIVED:
CAt vAV-_L ,10 4(0033
2) Project Name: _4L0-yo•tT41 S(dQOL. Phone & Fax:
3)
Engineer/Architect:
CS0
Phone: 1614- Me - _,�800
Attorney: D J 1! r_1? M�s Phone: 7-311-7435-21'70
Contact Person: Rog FAMAN�_ Phone: 91" - 15- 3902
Email: rFarrand a CC 5. 1112. in . U5 Fax:
Applicant's Status: (Check the appropriate response)
(a) The applicant's name is on the deed to the property
(b) The applicant is the contract purchaser of the property
R(c) Other:
4) If Item 3) (c) is checked, please complete the following:
Owner of the property involved:
Owner's address Phone:
5) Record of Ownership:
Deed book No./Instrument No. a 15 053
Page: Purchase Date: Q�
6) Common address of the property involved: 6Eg[m Izc1to cR
Legal description: (3 3` 1 1 3
Tax Parcel ID No.: - , 10'5 34 - Oa -cc - 032 - C7Q
7) State explanation of requested Special Use: _ 9m W�Ao rm-f 3C{Op(Rap
lATM W%drE 5&5ff>nLL FIEM5.
8) State reasons supporting the Special Use: (Additionally, complete the attached question sheet entitled
"Findings of Fact -Special Use").
0
C6M UN N Cci CF 11i
wra5j Slr>r of -C 0. la[KI fffiAn clanaomf
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9) Zoning district classification of property:c5 �� t Too
9a) Zoning Overlay (if applicable): F-:�TMTIIE - ZE51VIF1'11g1_
10) Present use of the property: 4gi wcuIgE
11) Size of lot/parcel in question: �:9 COMBI QF_D acres/sq. ft.
12) Describe the proposed use of the property: __ QMY __ OJE5ROM94 &QWAL ng 1S6
13) Is the property: Owner occupied Renter occupied Other U�.jDEV�'lQb
14) Are there any restrictions, laws, covenants, variances, special uses, or appeals filed in connection with this
property that would relate or affect its use for the specific purpose of this application? If yes, give date and
docket number, decision rendered and pertinent explanation.
15) Has work for which this application is being filed already started? If answer is yes, give details:
Building Permit Number:
Builder:
16) If proposed spef�ciaise is q � anted, when will the work Commence?
17) If the proposed special use is granted, who will, operate and/or use the proposed improvement for which
this application has been filed?
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 20 days prior to the public hearing date. The certified "Proof of Publication" affidavit for the
newspaper must be available for inspection by the night of the hearing.
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 20 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 20 day prior 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 7.
THE BURDEN OF PROOF FOR ALL NOTICES IS THE RESPONSIBILITY OF THE APPLICANT.
The applicant understands that docket numbers will not be assigned until all suppoHing information has been
l
Applicant Signature: Date:
The applicant certifies by sig his application that a/she has been advised that all representations of the Department of
Community Services are advisory only and that the applicant should rely on appropriate Unified Development Ordinance and/or the
legal advice of his/her attorney.
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AFFIDAVIT
I, the undersigned, 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. 1, the undersigned, authorize the Applicant to act
on my behalf with regard to this application and subsequenthearings and testimony.
Signed Name:
/ L
(Property Owner, Pro erty Owners Attord4y or Power of Attorney)
Printed Name: R.ovt V:1('r?_vl AJ -
bpi /a��xi7yl�l7/1�/1
SS:
The undersigned, having been duly sworn upon oath says that the above information Is true and correct and he is
Informed and believes.
County of -Na )%2 ) 1 t &yl, Before me the undersigned, a Notary Public
(County
`Iin which notarization lakes place)
for 140, VK 1' d 1�a-YL County, Stale of Indiana, personally appeared
(Notary Public's county of residence)
Rte( I atrfna Vid Jr. and acknowledge the execution of the foregoing instrument
(Property 3r-/w�ner, Attorney, or Power of Attorney)
this X day of uog- —.20 19
(day) (month) n/ /I (year)
Edai'oe %►Vers
My commission expires: :d— a ' D
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