HomeMy WebLinkAbout2020- Lit Fireworks Application+�� ac cn,4y.
`�"�'�`y''�F` � CITY OF CARMEL
�° TEMPORARY USE APPLICATION
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PERMIT #
APPLICANT "�"E PHONE
Lit Fireworks, LLC 317-201-6424
STREEfA�DRESS CITY STATE 7JP
653 Florence Dr Greenfield IN 46140
E-MRIL AD�R�55 BES7 METHOD 4F C4NTACT
dennissensing@yahoo.corr� Phane
�ROPERIY �� PHONE .
OWNER Padre Grill, LLC 317-514-8454
5TREETAD➢RESS CIN STATE ZIP
450 Beach St San Francisco CA 94133
�aeario� �E OF BUSINESS HAM[LTON CDUMY PARCEL NUM9ER
OF PROJECT �-it Fireworks 17-14-06-00-01-00�.000
STREETAUDRESS CffY STATE I!P
2375 E. 116th St Carmel IN 46032
ZONIN& LpT SUBDMSION
BS 4 Merchants Pointe Subdi�ision
TYPE OF USE ❑ SPECU4L EVENT 0 OU'T�OOR SALES ❑ SEASOHRL SALES ❑ MO�EL HOMFJSALES (BUILDING �ERMIT # f
❑ CUNSTRUCTION FACILffY m FlREWORKS SALES ❑ TEMPORAfiY CLASSROOM 0 F00� STANU
DETAILS OF �ATES OF PROP�SED USE HOURS OF DPERATION
�SE �o�: 06/69/20 70: 07/09/20 FROM: �:�� am �: 9:00 pm
WILL A iEMPaRRRY 5TRUCTURE BE REQUIRED7 YES � NO 0 IF YES, 51ZE OF STRUCTURE: 32� SQUARE fEEf
MOBILE UiV�T CERTIFlCATE #: WILL R SiGN BE REQUIRED7 YES m NO ❑
*** THE FOLLOWI�IG 5ECTION IS ONLY APPLiGABLE TO FIREWORKS SALES ***
FIREWORKS WILLTHE STFiUCTl1RE BE USEO FOR MORETHAN S00 LBS OF RREWORKS7 YE5 0 NO �
SALES �OES THE STRUCTUAE ALREAUY HAVE A SPRINKLER SYSTEM fNSTALLED7 YES m NO 0
HAS THE STRUCNRE PRE111011SLY BEEN USED FOR T}iE SALE OF RR�lNORiCS? 1'ES � NO ❑
*** THE FOLLOWING SECTION 15 ONLYAPPLICABLE TD FOdD STAEVDS ***
FpOD STANQS PLEASELISTAUaRESSES WRUPT�85ALESAREAS
1.
2.
8.
CERTIFICATION AND NOTICE OF INTENT TO COMPLY
I HEREBY CERTlFY TFIAT I HAVE THE AUTHORITY TD MAKE THE FOREGOtNG A�PLICATION, THAT THE PLANS FI�ED WiTH THE APPLICATION ARE CORRECT, AND THAT THE
OPERATi4N AND GQN�UCT aF THE TEMPORARY USE WlLI. CONFORM TO T+iE REGUTATIOHS OF 7HE CARMEL UNIFIE� �EVELOPMEM OR�INANGE. FAILURE TO COMPLY
WITH THE TERMS AND CONDf1101V5 OF THIS PERMIT MAY RESULT IN A CffATION AH� A�QiTIONAL FEES.
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C � --��/ D ' � �' 1U L��T
51gnaW�e of Qwner or Autlior4ied Age�% PAMed P ame � �a e
..................................................................................,....DFRCE USE ONLY
REQUIRED BASE INSPECTIOl�S *
* Additional inspec�ons may be required. SIGN REVIEWED �
RELEASED
❑F� Initlals
❑ Flnal l Site
Reviewetl 1 Reieasetl — �epartment of Cor�munity 5ervices Date
PERMIT FEES
Temporary llse Fee
Baselnspections
Ceriificate of Occupancy
TOTAL
Valid Until: Fee Received — Departmeni oi Community Services Date