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HomeMy WebLinkAboutApplication UV w/signed affidavitCARMEL BOARD OF ZONING APPEALS USE VARIANCE APPLICATION Filing Fee: $1,878 plus $147 per acre 1) Applicant: %"6/)?.1-H4y'4 1*L,0fA(& S' `, 4-4- C Address: �Uci " 2) Project Name: 1'4101 rID11-1 Phone: �� C' _ S,-Z_ Engineer/Architect: C �� /7 Phone: Attorney: 'f no- z-- Phone: _ Contact Person: Z, v't 4-q Phone: Email: /.,' � Fax: ProjectDox Contact Person: Phone:����Z- Email:Z if0 t4,0gWtiY40V RCEA1--JOAle- L"v1 Fax: 3) 4) 5) U-I 7) 0l 9) 9a) Applicant's (check the appropriate response): I 'I (a) The applicant's rAme is on the deed to the property; (b) The applicant is the contract purchaser of the property; (c) Other: If Item 3) (c) is checked, please complete the following: Owner of the property involved: Owner's address: Phone: Record of Ownership -- Deed Book No./Instrument No. Page: Purchase date: Common address of the subject property: Legal description: Tax ID Parcel No.: Explanation of requested Use Variance: (State what you want to do and cite the section number(s) of the Unified Development Ordinance that applies and/or creates the need for this appeal). State reasons supporting the Use Variance: (Additionally, complete the attached question sheet entitled "Findings of Fact -Use Variance"), Present zoning classification of the property: Zoning Overlay (if applicable): 6 lV A1 C,1-1A4 -C r-E'A --!��616 �J IZCr4' 6) vcr�,L�AL` Page 1 of 12 Filename: use variance application & instructions 2020 Rev. 1/2/2020 10) Present use of the property: 11) Size of lot/parcel in question: d -5- he�,� acres/sq. ft, 12) Describe proposed use of the property: 13) Is the property: Owner occupied ; Renter occupied ; Other: 14) Are there any restrictions, laws, covenants, variances, special uses, or appeals filed in connection with this property that would relate or affect its use for the specific purpose of this application? If yes, give date and docket number, decision rendered and pertinent explanation. 15) Has work for which this application is being filed already started? If answer is yes, give details: Building Permit Number: Builder: 16) If proposed appeal is granted, when will the work commence? �-1 -7, 17) If the proposed appeal is granted, who will operate and/or use the proposed improvement for which this application has been filed? NOTE: Three modes of public notice are required. LEGAL NOTICE shall be published in the NEWSPAPER according to the Chart on paste 6 a MANDATORY twenty (20) days prior to the public hearing date. The certified "Proof of Publication" affidavit for the newspaper must be available for inspection by the night of the hearing. LEGAL NOTICE to all adjoining and abutting property owners is also MANDATORY, two methods of notice are recommended: 1) FIRST CLASS MAIL with CERTIFICATE OF MAILING sent to adjoining property owners. (The white receipt should be stamped by the Post Office at least 20 days prior to the public hearing date), OR 2) HAND DELIVERED to adjoining and abutting property owners (A receipt signed by the adjoining and abutting property owner acknowledging the 20 day prior notice should be kept for verification that the notice was completed) LEGAL NOTICE via a Notice of Public Hearing SIGN posted on the property is also required; see page 7. THE BURDEN OF PROOF FOR ALL NOTICES IS THE RESPONSIBILITY OF THE APPLICANT. The appfiont understands that docket numbers will not be assigned until all supportina information has been Applicant Signature: Date: 1 - r / �' A� 0,-7 a The applicant certifies by signing this application that he/she has been advised that all representations of the Dept. of Community Services are advisory only and that the applicant should rely on appropriate Unified Development Ordinance standards and/or the legal advice of his/her attorney. Page 2 of 12 Filename: use variance application & instructions 2020 Rev. 1/2/2020 AFFIDAVIT I, 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 act on my behalf with regard to this application and subsequent hearings and testimony. Signed Name: A/1 STATE OF IN©IANA SS: (Property Owner, Attorney, or Power of Attorney) Printed Name. The undersigned, having been duly sworn upon oat s that the above information is true and correct and he is informed and believes. (Signature of Petitioner) County of � Before me the undersigned, a Notary Public /J (County in which notarization takes place) for 1�7_ VI �L—t—o r/ County, State of Indiana, , personally P Y appeared (Notary Public's county of residence) and acknowledge the execution of the foregoing instrument (Property Owner, Attorney, or power of Attorney) this I day of 2Q (day) (month) i (Y,�aft\ k,' Notary Public-Knature Notary Public --Please Print My commission expires: tifA A. DAV15Em lic, State of Indianampton County 2028 n Number NP0728Q2Smmission paresay jg. Page 3 of 12 Filename: use variance application & instructions 2020 Rev. 1/2/2020