HomeMy WebLinkAbout19080132 Applicationi
C11YY OF CARMEL
TEMPORARY USE APPLICATION
*ala
PERMIT # 19-0'013o-\
APPLICANT
NAME
YES
❑
NO 0
SALES
Lasley
YES
317-872-4166
NO 0
STREET ADDRESSCITY
FES
STATE
ZIP
9919 Towne Rd
Carmel IN
46032
E-MAIL ADDRESS
BEST METHOD OF CONTACT
blasley@childrenstheraplay.org
email
PROPERTY
OWNER
NAME
William Craig Dobbs
PHONE
317-281-8606
STREET ADORESS onVSTATE
4P
2360 Treesdale Circle
Camnel
IN
46032
LOCATION
OF PROJECT
NAME OF BUSINESS
The Children's TherAplay Foundation, Inc.
HAMILTON COUNTY PARCEL NUMBER
STREET ADDRESS
CITY
STATE
IIP
9919 Towne Rd
Carmel
IN
46032
ZONING
LOT SUBDMSION
TYPE OF USE
0 SPECIAL EVENT ❑OUTOOORSALES ❑SEASONAL SALES ❑ MODEL HDMFiSALES(BUILDING PERMIT
❑CONSTRUOmON FACILITY ❑ FIREWORKS SALES ❑ TEMPORARY CLASSROOM ❑ FOOD STAND
DETAILS OF
DATES OF PROPOSED USE
HOURS OF OPERATION
USE
FROM: 09/21/19 TO: 09/21/11
MOM: 6:00 pm TO. 11:00 pm
WILL A TEMPORARY STRUCTURE BE REQUIRED? YES 0
NO ❑ IFYES, SIZEOFSTRUCTURE: 2400
SQUARE FEET
MOBLLEUNRCERiRICATE #:
WILA SIGN BE REQUIRED? YES ❑ NO 0
***THE FOLLOWING SECTION IS ONLY APPLICABLE TO FIREWORKS SALES***
FIREWORKS
WALL THE STRUCTURE BE USED FOR MORE THAN 500 LBS OF FIREWORKS?
YES
❑
NO 0
SALES
DOES THE STRUCTURE ALREADY HAVE A SPRINKLER SYSTEM WALLED?
YES
❑
NO 0
HAS THE STRUCTURE PREVIOUSLY BEEN USED FOR THE SALE OF FIREWORKS?
FES
❑
NO m
*** THE FOLLOWING SECTION IS ONLY APPLICABLE TO FOOD STANDS ***
FOODSTANDS PLEASEUSTAQORESSESFORUPTD3SALESAREA3
f.
z
3.
CERTIFICATION AND NOTICE OF INTENT TO COMPLY
I HEREBY CERTIFY THAT I HAVE THE AIITHORnY TO MAKE THE FOREGOING APPLICATION, THAT THE PLANS FILED WITH THE APPLICATION ARE CORRECT, AND THAT THE
OPERATION AND CONDUCT OF THE TEMPORARY USE WILL CONFORM TO THE REGULATIONS OF THE CARMEL UNIFIED DEVELOPMENT ORDINANCE, FAILURE TO COMPLY
WITH THE TERMS AND COND11 QWOF THIS PERMIT MAY RESULT IN A CITATION AND ADDITIONAL FEES,
Kathy Pelletier 07/18/19
....«.,..««.««..«..«.««........... ».«.«««««.«.«««,«.,,.«««.««pFRCE USE ONLY««.«.,.,........„,«»«.«.««.««...«,.«.«....««..«.........................
REQUIRED BASE INSPECTIONS *
*
Additional Inspections may be required. SIGN REVIEWED/
RELEASED
ORM nPoNs
❑ Final/ Site
Reviewed/Released — Department of Community ices Date
Valld Und:
PERMIT FEES
Temporary Use Fee
Baas Inspections
Certificate of Occupancy
TOTAL
Fee Received— Department of Community Services Date