HomeMy WebLinkAboutApplicationAPPLICATION for ADMINISTRATIVE SUBDBUSION
FEE: (Due after docket no. is assigned) $361 plus $144 per lot
DATE: �® Z Office Use Only DOCKET #
The undersigned agrees that any construction, reconstruction, enlargement, relocation or alteration of structure, 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.
Applicant: Carmel Dads Club Inc.; Clay Township of Hamilton County, IN
Email:twn@kgrlaw.com Phone: (317) 692-9000
Address: 5459 E. Main Street, Carmel IN
Owner: Carmel Dads Club Inc Phone:
Contact Person: Ted Nolting
Email: twn`ra?kgrlaw-com Phone: (317) 692-9000
Eplan Review Contact Person:Ted Nolting Phone: (317) 692-9000
Email: twn@kgrlaw.com
Name of Subdivision: NA
Approximate Address/Location oi'Subdivision: 5459 E. Main Street, Carmel, IN
Tax Parcel ID No(s):16-10-28-00-00-044.00
Legal Description: (To be typewritten on separate sheet and attached).
Area (in acres): 36.206 Number of Lots:2 Zoning: S 1
Surveyor certifyi ng plat: Roger Ward Engineering Zoning Overlay:
Surveyors address and phone: 6555 Carrollton Ave, Indianapolis, IN 46220
Signature of A
TITLE: Attorney for Clay Township, IN
Ted Nolting
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State of Indiana, County of SS:
(County in which notarization takes place)
Before me the undersigned, a Notary Public for '-40LA l NQ-aA-- County, State of Indiana,
(officers county of residence)
personally appeared L
c of crson(s))
of the foregoing instrument this �- �a-y of A
(month)
ANDBEA KECK
4SEAL) $981
No ary Pu lic • Slate of Indiana
Marlon County 0
[My Comm1a111on E1rplres Nov 3lliff m ' sion expires:. IL &
File: Administrative Subdivision Application 2019 Page 1 of 4
acknowledged the execution
(Notary Public -
Print)
Revised 02-28-2019