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HomeMy WebLinkAboutApplication TACDOCKET NO. TAC DATE RECEIVED: For office Use only TECHNICAL ADVISORY COMMITTEE G` APPLICATION & PROCEDURES $ d 'Fee: $362.00 s �Vh>aN �o Property Information Tax Parcel ID*: . . ■ . ■ . . . . ■ ■ ■ ■ ■ ■ ■ . ■ ■ ■ ■ ■ . ■ ■ ■ ■ ■ ■ ■ ■ ■ . . . . ■ ■ ■ ■ ■ ■ 17-13-07-00-23-001.000 5.44 Area (acres): Property Address: 4518 W 99th Street Zoning District: 1-1 Overlay District (Ifapplicable): Legal Description: (To be typewritten separately.) * Please attach a separate list for projects with multiple parcels. Attorneylnformatioll " ■ " ■ ■ " ■ ■ ■ ■ ■ ■ ■ , , , ■ ■ ■ • ■ ■ . . • ` • • . • • • • • ` • • • • • Name: Address: Phone: Email: Engineer Information N • N , N N N N N N N ■ N , . . N . . . . . . . . . . . . . . . . . . . . . . . . Name: Kimley-Horn Address:250 E 96th Street, Suite 580, Indianapolis, IN 46240 Phone:317-218-9560 Email Address: mike.timko@kimley-horn.com Eplan Review Contact Person: Mike Tlmko phone: 317-218-9566 Email: mike.timko@kimley-horn.com Ownerinformation i ■ ■■■■■ ■. Name: Address: y5 t s Welt q q+11 �Sio w Car ".4 1 W 64 663 -L. Phone Day: ti`pi"'ZZ•S"" g93? Evening:� tt�-"�4�i-$�J6b Email Address: �i Q A ,toM Project Description . ` . . . ` . ` . . . . ` . ■ • . . ■ . ■ ■ . ■ ■ . ■ ■ . ■ . ■ . ■ ■ ■ ■ . ■ ■ . ■ . Please include a brief summary/history of the project: This project includes a building and parking expansion of the existing Shafer Powder Coating facility. This expansion was master -planned for in a previous drainage report. Affidavit: 1, 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 t on myAbehalf wi regard to this application and subsequenthearingsand testimony. F�4Signature of Owner:/j�/— � 1 Printed: S Date: Page I of 2 File; Technical Advisory Connnittee Application 2019 Revised: 01Y04119 DOCKET NO. TAC DATE RECEIVED: For office use Only �� "�fi TECHNICAL ADVISORY COMMITTEE B 8 APPLICATION & PROCEDURES ^Fee: $362.00 .Property Information , . . ■ . ■ . , , ■ , ■ ■ , ■ ■ ■ , ■ ■ ■ ■ , r ■ ■ ■ ■ , ■ ■ . ■ ■ ■ ■ ■ ■ ■ , ■ Tax Parcel >D*: 17-13-07-00-23-001.000 Area (acres): 5.44 Property Address: 4518 W 99th Street zoning District: 1-1 Overlay District (If applicable): Legal Description: (To be typewritten separately.) * Please attach a separate list for projects with multiple parcels. Attorney Information " " • ■ ■ ■ , ■ ■ ■ r ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ Name: Phone: Email: Engineer Information ■ ■ ■ ■ ■ . ■ ■ ■ ■ ■ ■ , ■ ■ ■ ■ ■ • W • ■ • • • • ■ • • , . • • • • • • • • ■ • Name: Kimley-morn Address:250 E 96th Street, Suite 580, Indianapolis, IN 46240 Phone:317-218-9560 EinailAddress: mike.timko@kimley-horn.com Eplan Review Contact Person: Mike Timko Phone: 317-218-9566 Email: mike.timko@kimley-horn.com Owner Informatio n _i- - a ` . ■ ■ ■ ■ ■ ■ ■ ■ ■ Name: .Y1f� "r r 0v1��QJV�~i i {.� Address: Li5 t s W e-st- q e1+h asotk Car 71t t 66-L .• Phone Day: 3 1-1—'1?L%— g9317 Evening:3 tn- CM1-81560 Email Address: 5 Q A W m Project Description • • • • . • • • • • , • , • ■ • ■ • ■ ■ , A W ■ W • ' ■ • ' ■ ' ■ ' W ■ `° ■ ■ • V Please include a brief summary/history of the project: This project includes a building and parking expansion of the existing Shafer Powder Coating facility. This expansion was master -planned for in a previous drainage report. Affidavit: 1, 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 nay knowledge and belief. I, the undersigned, authorize the applicant toot on any behalf witth regard to this application and subsequent hearings and testimony, Signature of Owner: Y 1 1( " r PY�K Printed: Date: 8 " 13 - 1q- Page I of2 File: Technical Advisory Committee Applica€ion 2019 Revised: 01104t19