HomeMy WebLinkAboutT.W. Lewis Co, Inc. (2)Rev. 12/80
SIGN PERMIT APPLICATION
i Permit # J zf f )
Date
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. I et seq, General Assembly of the State of Indiana, and all
Acts amendatory thereto.
APPLICANT
NAME L`- Ca f PHONE NO.
ADDRESS Z-76
Owner of Real Estate on which Sign is to be located:
NAME c� ,.�,. PHONE NO,
I
ADDRESS
ZONING
SIGN INFORMATION
LEGAL
DIMENSIONS: Height Above Ground 5`-0" Feet from Right -of -Way
i
Horizontal Z44 ft. Sq. Ft. of Face (,o
-Number of Existing Signs on Property i
CERTIFICATION
I CERTIFY THAT THIS SIGN WILL BE E E
ORDINANCES OF CARMEL/CLAY TOWNSH C�UI
OR THIS PERMIT IS NULL AND VOID.
APPLICANT FURTHER CERTIFIES BY SI ING THIS APPL:
REPRESENTATIONS OF THE BUILDING C ISSIONER OR,,pp
SHOULD RELY ON THE LEGAL ADVICE OF ATTORNF;Y
9
T
6/!
1 1
er's ignr e
Estimated Date of Completion
FEES: IMPROVEMENT LOCATION PERMIT S
SIGN STRUCTURE PERMIT
TOTAL FEE
PER`IIT FEE RECEIVED BY
Vertical ft.
ED IN ACCORDANCE WITH ZONING
AND ERECTED WITHIN SIX (6) MONTHS
ON THAT HE HAS BEEN ADVISED THAT ALL
ARE ADVISORY ONLY AND THAT APPLICANT
Contractor's i nature
RELIEDrFOR CONSTRUCTION
BUILDING COMMISSIONER
CLAY TOWNSHIP
HAMfLTON COUNTY, IND.
rld r%f�.
P A I L,Aft
6 W1
DATE
T.W. Lewis Company
COPY
A TTN :
REF:
CONTACT
PHONE NO.
OUR ORDER NO.
FACTORY ORDER NO.
CUSTOMER ORDER NO.
REQUIREMENT
'ERS
T. T. & W.
ELECTRIC HEAT
KILLEBMI
PERRY
WATUBO - TEK
ZURN
FILE
CUSTOMER
ACTION REQUIRED
ENTER ORDER
CHANGE ORDER
RELEASE TO FAB.
PROPOSAL
ADVISE DELIVERY
SUBMITTAL
BY: TWL
10834 ❑UEENSBURY CT, ' CARMEL, tNDIANA 46032 ' PHONE: 017) 844.8563