HomeMy WebLinkAboutApplication DPDEVELOPMENT PLAN / DP AMENDMENT APPLICATION
Fee*: $1,099 plus $144 per acre
DATE: DOCKET NO.
(Check all that apply)
❑✓ DP ❑ DP Amend ❑✓ ADLSIADLS AMEND Attached
Name of Project: Franciscan Orthopedic Center of Excellence
Project Address: East of Illinois Street between 106th and 111th St.
Project Tax Parcel ID #: 17-13-02-00-00-023.000
Legal Description: (Please use separate sheet and attach)
Name of Applicant: Meridian Development Services, LLC
Applicant Address: 201 Pennsylvania Parkway, Suite 100, Indianapolis, IN 46280
Contact person: Marty Rosenberg
Phone: 704-952-7269
Email:marty@methodistsports.com
Eplan Review Contact: Sherri Wilson Phone:317-706-6419
Email: swilson@cripe.biz
Name of Landowner: Meridian Development Services, LLCphone: 704-952-7269
Landowner Address:201 Pennsylvania Parkway, Suite 100, Indianapolis, IN 46280
Parcel Size: 10.8 ac Zoning District: Meridian Corridor
Overlay Zone: nla
Present Use �y
ofProp e Undeveloped
Proposed use of Property: Orthopedic Hospital, Surgery Center and Medical Office Building
*Note that required fees are due after the application has received a docket number, and not at the time of
application submittal.
Page 1 Filename: Development Plan (and DP Amend) Application 2019.docx Rev. 21V19
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
Martin Rose
(Typed/Printed)
STATE OF INDIANA
SS:
Agent
(Typed/Printed)
The undersigned, having been duly sworn upon oath says that the above information is true and correct and he is informed
and believes.
A ignature of Petitioner)
County
for
me the undersigned, a Notary Public
in which notarization takes place)
County, State of Indiana, personally appeared
(N1*17t7
tary Public's county of residence)
0��/^ and acknowledge the execution of the foregoing
(Property Owner, Attorney, or Power of Attorney)
instrument this 00-'2` day of
(day)
PUBUG
00240)
y�/Ar7Y, STp SEF`.
0
�,,,,6+i411`�
J�t.V4 20
(month) (year)
t
otary Public--Signatur
A
Notary Public—Printed/Typed Name
My commission expires: "� �`� ` WW
Page 2 Filename; Development Plan (and DP Amend) Application 2019.docx Rev. 211119