HomeMy WebLinkAboutApplication PPAPPLICATION for PRIMARY PLAT or REPLAY
Fee*: $1,128 plus $147 per lot (or $370 plus $147 per lot)
Office Use Only
DATE: DOCKET NO.
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 "Zoning Ordinance of Carmel, Indiana - 1980", 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.
Name of Applicant: T �,Pi Phone:
Email:
Address: J ` � i:i—k C6- n e. � 1, �9
Contact Person:
+DxM0C' ar r'j.j � f) Phone: 1 (00
Eplan Review Contact Person: Phone: ��� �Ll
Email: i e t C .'r lL a't t
Owner: n M C� Phone:(3 n 2
Name of Subdivision:
Approximate Address/Location of Subdivision:
Tax ID Parcel No(s): a i�6c W,
Legal Description: (Too be typewritten on separate sheet and attached)
Area (in acres): --- lQ Qc-, Number of Lots: Zoning classification: C _ Z
Length (in miles) of new streets to be dedicated to public use: 10 I w ; �h A r i J eS • 2-
6-
Surveyor certifying plat:
Address: Phone:
Email:
STATE OF INDIANA, COUNTY OF 44AM_ VTD f SS:
The undersigned having been duly sworn, upon oath says that the above infonnation .is true and correct as he or she is
informed and believes. i
Applicant Signature: 1---
4 C
, II
Print name
Subscribed and sworn to before me this r day of 20 0'0.
My Commission Expires: aJ
Notary Pub r
■`""�'"+ CASEY J SHINAVER
Notary Public, State of Indian
Filename: Primary Plat 2020 Revised 12/31/2019 z :' Hamilton P4gtn ly
;SEAL;
Commission d 713975
My Commission Expires
+r,,,,,.,,■•■ July 23, 2026