HomeMy WebLinkAboutPro-Med Park S35.01SIGN COPY
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DATE RECEIVED:
SIGN ADDRESS U1 c ET]�„unc 4N �o L
CARME (CLAY TOWNSHIP. H6NII.TON COUNTY INDIANA
SIGN PERMIT APPLICATION
I
PERMIT NUMBER:
NAME OF BUSINESS PieO — PAE D rd1TE_1> PHONE:
ADDRESS: 3 az 1 £ *S'T S Sr- s� ?--�D CITY: TW n PUS .
SI&f`+-DINo
STATE:XW ZIP: 4V(y749_0
PROPERTY OWNER: IZa -N1 LI ❑ RO� T e . PHONE: 05yj -d/Ob
ADDRESS: £AST $-ft Sr Sao4C X2-0 CITY: -TNDPi--S.
STATE: :r ^/ ZIP: q 10 29D
ZONING DISTRICT: -5' Lp OVERLAY ZONE: 31 431 421 OLD TOWN:YES NO X
REQUIRED APPROVALS: Plan commission Docket # qo -q 7 BZA Docket #
IS AN IMPROVEMENT LOCATION PERMIT REQUIRED FOR THIS BUILDINGfIENANT
IF YES, STATE PERMIT NUMBER ISSUED
SPACE? N
DOCD Only
SIGN TYPE -circle one: WALL GRO ROOF PROJECTING SUSPENDED PORCH WINDOW OTHER
NO. OF SIDES �_ SIGN STATUS -circle appropriate response(s): 1L�.J EXISTING PERMANENT TEMPORARY
1 1
OVERALL SIGN HEIGHT FROM GROUND. 5' rJ 'r. OVERALL SIGN DINIENSIONS:'� FT. x FT.
f SurcroKoY wl a"
TOTAL SIGN AREA: Requested 3 SQ. FT. Permissible Z SQ. FT. ' COLORS: 4. C—o .0 ACCENTS
BUILDING OR TENANT SPACE FRONTAGE DIMENSION:
SETBACK OF SIGN FROM NEAREST RIGHT-OF-WAY:
LOGO DIMENSIONS: NJI� LOGO IS
M%)kA-, —+e_10 wr
FT. BUILDINGTYPE: C.owtPLLX
Row : soI+r =SS'I
b 10 PERCENT OF ALLOWANCE SIGN AREA
ARE THERE ANY EXISTING SIGNS ON THIS SITE? IF YES, EXPLAIN
SHOPPING CENTER OR COMPLEX NAME.
P.OM E'D P4R.le-
I CERTIFY THAT A PICTURE OF THIS SIGN WILL BE SUBMITTED TO THE DEPARTMENT OF
COMMUNITY SERVICES WITHIN ONE (1) WEEK AFTER ERECTION OF THE SIGN.
-OR-
I WOULD PREFER A $90.00 INSPECTION FEE BE ADDED TO THE COST OF THIS PERMIT TO COVER
THE COST OF THE STAFF OF THE DEPARTMENT OF COMMUNITY SERVICES TAKING THIS PICTURE.
E: T.
TWO COPIES OF THE FOLLOWING DOCUMENTATION ARE REQUIRED FOR THE REVIEW OF THIS SIGN
PERMIT:
* COMPLETED APPLICATION
* SITE PLAN (depicting all dimensions, setbacks and proposed sign location)
* SIGN ELEVATIONS (depicting all dimensions, copy and color)
* BUILDING OR TENANT SPACE ELEVATION (depicting frontage dimensions and proposed sign location)
* LANDSCAPE PLAN: Required for ground signs (depicting the planting, mature heights and caliper)
* See Samples Attached
SIGN PERMIT FEES:
-PERMIT APPLICATION .................... $35.00
-SIGN ERECTION ............................. $28.00 PER SIGN FACE PLUS $1.50 PER SQUARE FOOT OVER 32 SQUARE FEET.
-REPLACEMENT OF SIGN FACE IN AN EXISTING CABINET--$28.00 PLUS $1.50 PER SQUARE FOOT OVER 32 SQUARE FEET
(Continued On
Page'2 of 2
Carmel/Clay Sign
Permit Application
THE UNDERSIGNED CERTIFIES THAT THE FOREGOING SIGNATURES, STATEMENTS AND ANSWERS HERIN CONTAINED AND THE
INFORMATION HEREWITH SUBMITTED ARE IN ALL RESPECTS TRUE AND CORRECT, AND THIS SIGN WALL BE ERECTED AND
MAINTAINED IN -ACCORDANCE WITH ALL APPLICABLE LAWS OF THE STATE OF INDIANA, AND THE•"ZONING ORDINANCE OF
CARMEUCLAY TOWNSHIP, INDIANA AND ALL ACTS AMENDATORY THERETO, AND SHALL BE ERECTED WITHIN SIX (6) MONTHS
OF THE DATE OF ISSUANCE OR THIS PERMIT IS NULL AND VOID.
FURTHER, THE UNDERSIGNED CERTIFIED BY SIGNING THIS APPLICATION THAT ALL REPRESENTATIVES BY' THE DEPARTMENT
OF COMMUNITY SERVICES ARE ADVISORY.
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Tom 'g- -fw cDK-Es
PROPERTY OWNER'S NAME (PLEASE PRINT)
70& zt R' _�V %tk�5
BUSINESS OWNER'S NAME (PLEASE PRINT)
SIGN COMPANY- v F 5 Kf l� CONTACT PERSON - PHONE:
ADDRESS: lX L • � ` 2W(Dt4N� � CITY: 0`z-' " STATE:
sw _%�l
ZIP: ` uzz
': Y -i
THE FOLLOWING ITEMS ARE CONCERNS BY STAFF OR PRIOR COMMITMENTS THAT MUST BE ADHERED TO AS A CONDITION
OF THE ISSUANCE OF THIS PERMIT (PLEASE INITIAL EACH INDIVIDUAL ITEM):
1) x
2) r
3) S
4) x
5) x
SIGN PERMIT APPLICATION
SIGN ERECTION - Improvement Permit
INSPECTION FEE (Required if photography not provided)
35-OD
$ a�
$35.00 ORS -- Photo willbeprovided
TOTAL FEE $
PERMIT ISSUED BY: l�{h2 v 1 FEE RECEIVED B
RELEASED STAMP: PAIDSTAMP:
Local 0 0d; a
CITY OF CARMiEL 1 CLAY TO11i1'N SA P
s:\.sign\.appl INDIANA
revised 06/97
APR - 4 2001
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