HomeMy WebLinkAboutPromed Park S34.01nValyADDRESS 00 6 - r* tL- 4NE -r #fVOA2
SIGN COPY
C C YTO 5 NCD Y
SIGN PERMIT APPUCA7 N
DATE RECEIVED:
NAME OF BUSINESS
?R 0 - - F D
L M i TE
PHONE: 'S H 4 - a 10 fo
ADDRESS: 3aZ !
19 A-9 80A 5L
S01-le - 2?O CITY:
x N 0 PL-5 . STATE: 1►4 ZIP: 114 2W
PROPERTY OWNER-
&Q-MeczL
r M r D �Ie IQa RT
E _ u &-H ES PHONE:
ADDRESS: 3 D s-1 �.4sr + S,ft Z Z-n CITY: Tnl> PL-5
ZONING DISTRICT: B ` (1P OVERLAY ZONE: 31 )( 431 421 _
STATE. TN ZIP: 41Z$O
OLD TOWN -YES NO X
REQUIRED APPROVALS: Plan coaunission Docket ig gD � 9 7 ADL5 BZA Docket it DOCD Only
IS AN IMPROVEMENT LOCATION PERMIT REQUTR.ED FOR THIS BUILDINGITENANT SPACE? NO
1F YES, STATE PERMIT NUMBER ISSUED
SIGN TYPE -circle one: WALL GROUND ROOF PROJECTING SUSPENDED PORCH WINDOW OTHER
NO. OF SIDES �_ SIGN STATUS -circle appropnate response(s): NEW EXISTING 11 P TEMPORARY
OVERALL SIGN HEIGHT FROM GROUND: 6 - 15
TOTAL SIGN AREA: Requested
FT. OVERALL SIGN DIMENSIONS: y FT.:c I FT.
1 (e SQ. FT. Permissible
3UILDING OR TENANT SPACE FRONTAGE DIMENSION: FT.
13� JUWCYrCrPAPA£
tv SQ. FT. COLORS: C—oLbA&TwTS
mow-TenANT-
BUILDING TYPE: But ION t n C C wt
SETBACK OF SIGN FROM NEAREST RIGHT-OF-WAY: c = 3 d -r SAS � FT.
LOGO DIMENSIONS: N LOGO IS 0970 PERCENT OF ALLOWANCE SIGN AREA
ARE THERE � EXISTING SIGNS ON THIS SITE? YES, EXPLAIN IJ o
SHOPPING CENTER OR COMPLEX NAME: �-- _ �xo M E D PA 4zk
., I CERTIFY THAT A PICTURE OF THIS SIGN WILL BE SUBMITTED TO THE DEPARTI�IT OF COMMUNITY
DEVELOPMENT W HIN ONE (1) WEEK AFTER ERECTION OF THE SIGN.
-OR-
I WOULD PREFER AN ADDED S35.00 [NSPECTION FEE TO BE ADDED TO THE COST OF THIS PERMIT TO COVER
THE COST OF THE STAFF OF 1HE DEPARTMENT OF COMMUNITY DEVELOPMENT TO TAKE THIS PICTURE -
TWO
COPIES OF THE FOLLOWING DOCUMENTATION IS REQUIRED FOR THE REVIEW OF THIS SIGN PERMIT:
* COMPLETED APPLICATION
* THE SITE PLAN (depicting all dimensions, setbacks and proposed siga location)
* SIGN ELEVATIONS (depicting all dimensions, copy and color)
* BUILDING OR TENANT T SPACE ELEVATION (depicting frontage dimensions and proposed sign location)
* LANDSCAPE PLAN Required for ground signs (depicting the planting, and mature heights and caliper)
* See Samples Attached ( G
SIGN PERMIT FEES:
-PERMIT APPLICATION .... 00
-SIGN E,RE MON.......5"c PER SIGN FACE PLLiS �S .. PER SQUARE FOOT D 32 SQUARE 'FEET.
-REPLACEMENT OF SIGN FACE IN A,� EXISTING CABI1, ET.....* PLUS a FEE —
PER SQUARE FOOT OVER 32 SQU.�RE : EE T
(Continued On Page 2) ,�a ; iv SQ
Page'2 of 2 '
Carmel/Clay Sign
Permit Application
THE UNDERSIGNED CERTIFIES THAT THE FOREGOING SIGNATURES, STATEMENTS AND ANSWERS HERIN CONTAINED AND THE
R+iFORMATION HEREWITH SUBMITTED ARE IN ALL RESPECTS TRUE AND CORRECT, AND THIS SIGN V121 BE ERECTED AND
E OF
MAINTAINEDCLA IN ACCORDANCE
WNSHIP. IN}7IA.NNAAND ALL ACTS AAMDUATORY ALL APPLICABLE LAWS OF PTO, ANI] SHALL BE ERECTIDTE OF E�DMA. AND ��WTTHIN IX (6MONTHS
GARINELfCLAY TO
OF THE DATE OF ISSUANCE OR THIS PERMIT IS NULL AND VOID.
FURTER, THE UNDERSIGNED CERTIFIED BY SIGNING THIS APPLICATION THAT ALL REPRESENTATIVES BYTHE DEPARTMENT
OF COMMUNITY SERVICES ARE ADVISORY.
k-VO '°`U{,�,�
PROPERTY OWNER'S NAME (PLEASE PRINT)
BUSINESS OWNER'S NAME (PLEASE PRINT)
SIGN COMPANY: I7S �F��W CONTAC
:r nw �. CITY:
ADDRESS: l�
T
`('c--.n-err
PERSON• PHONE: Z ^�
C,hs(Z1`n STATE1
:I"' ZIP:4UO x
THE FOLLOWING ITEMS ARE CONCERNS BY STAFF OR PRIOR COMMITMENTS THAT MUST BE ADHERED TO AS A CONDITION
OF THE ISSUANCE OF TIES PERMIT (PLEASE INITIAL EACH INDIVIDUAL ITEM):
1) x
21) xt
3) x
4) x
�) x
SIGN PERMIT APPLICATION
s 315. 1v
SIGN ERECTION - Improvement Permit S
INSPECTION FEE (Required if photography not provided) S35.00 ORS °hoto will be provided
TOTAL FEE S `�
PERMIT ISSUED BY:
—Lw�
RELEASED STAMP: '0 STP.U`�y4( 11A
try
of
CIF caux��� �:1T owwsop
:€
c{Ty QF CA M&F-i-
p4IDW A
PAID STAMP:
APR - 4 2001
s:lsigalappl
revised 06/97
5 (-rE- R A-rJ --
Vacant
065 Ac.
?01
'4 *e, F4V
e4
/ l
30'R 302
'e—,*24 3•
0 30' 60'
Vacant
10.74 Ac.
----N1: R
4ft`x 8ft. Pro-Med Park Wood Sign
42.361
4R. x 4ft'Directory Wood Sign
TRI COUNTY MENTAL HEALTH CLINIC
PWNU RR: ffamm of:
Sign Location Plan Pro-Med, Limited NE Corporation
1015 E H-" 6-60 041 Nam M.UM 3—
FnAk cc aw kdoVA. IN 40214-M
970 BO-Q70 317 M"M
970 858-= FAX
I;
48"
TENANT SPACE ELEVATION: PROMEII PARK
Of
bep 7-
or CA
11
SIGN SPECIFICATIONS
1 / 10 SCALE
Face - High grade redwood
41X4' Signface=16 sq. feet
Posts - 6" treated lumber
Colors - Burgandy with cream & gold accents
••
BURIED 24"
BURIED 24"
SIGN ELEVATION: PROMED PARE[
IP"
A Oil
SIGN SPECIFICATIONS
1 /10 SCALE
Face - High grade redwood
41M Signface=16 sq, feet
Colors - Burgandy with cream & gold accents
Form Prescribed by State Board of Accounts Boyce Forms Systems, Muncie. In
RECEIPT
DEPARTMENT OF COMMUNITY SERVICES
FUND
CARMEL IN., 20-0/
RECEIVED FROM ,f
THE SUM OF
ON ACCOUNT �,444,-YJAaeA
4,-YJ
GENERAL FOWA NO. 352 (REV. 19e7)
too
N2 1497
PAYMENT TYPE & AMOUNT
CASH CHECK
M.O..
L�
VAT• C.C.1H.C. OTHER AUTHORFZ S:GNA �>;
d-D