HomeMy WebLinkAboutRadebaugh Insurance Agency S112.81REV. 12/8,0
SIGN PERMIT APPLICATION
Permit
Date D -2 -81
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.
AP P
NAM
ADD_
E
LICANNTT
PHONE NO. L,C
/
RESS_
Owner of Real Estate on which Sign is to be located:
NcuME PHONE NO. _--
,DDRESS .�S J S_ leo• e iJ --
ZONING _LEGAL
SIGN INFORMATION
DIMENSIONS: Height Above Ground 3 S Feet from Right -of -Way Vertical ft.
Horizontal 6.. ft. Sq. Ft. of Face 1:: S
Number of Existing Signs on Property
CERTIFICATION
I CERTIFY THAT THIS 5I ERECTED AND MAINTAINED IN ACCORDANCE WITH ZONING
ORDINANCES OF CARNET: Y��}T0 y HAMILTON COUNTY, AND ERECTED WITHIN SIX (6) MONTHS
OR THIS PERMIT IS,. AN f� D. �
C3 ED
APPLICANT FURTHER. R-nFIE9;-BY:SIG THIS APPLICATION THAT HE HAS BEEN ADVISED THAT ALL
REPRESENTATIONS OF- HEM' tQ.1_NG9�01 SIONER OR STAFF ARE ADVISORY ONLY.AND THAT APPLICANT
SH0,FL] ELY ON �3?xTCEO S ATTORNEY.
Contractor's Signature s. �:;
Owna s Si a re :.._......_. - :0 J.
Estimated Date of Completion .Ji:eGf !Cd r:PiC.� etii 5e•-rirrcE:v:r-
J / d
C��:`i{O, i�r+lfl::�:tr rtrici �JC�yr v7oe(+::.
FEES: IMPROVEMENT LOCATION PERMIT
SIGN STRUCTURE PERMIT $
TOTAL FEE $ "
PERMIT FEE RECEIVED BY
R A I® AU 0 2 4 1981