HomeMy WebLinkAboutPayton S115.02SIGN COPY
DATE,RECEIVED:
_ SIGN ADDRESS �XL-'fir/ i ��L �it -✓G��� e-_
L WN , HAMILTON COUNTY INDIANA
N P IT APPLICATION
NAME OF BUSINESS !a y : m►d `
ADDRESS: Two 6-r- kL-_c 1, i c vi-- b.c.
4MQP PERMIT NUMBER: u s -swoz
�:r_ , •_ PHONE:
CITY: 4: STATE: /fu ZIP: o � �-
PROPERTY OWNER' _g L LL, PHONE:
-cc r-Ln
ADDRESS: P - G'1 /� _9 �- _ CITY: Gil �, �- STATE: �ti ZIP: 1/6 0 3 �-
ZOMNG DISTRICT: B 8 OVERLAY ZONE: 31 421 431 OLD TOWN: YES* NO %G
REQUIRED APPROVALS: Plan Commission Docket //6- 97•AD4.7 BZA DocW- H
IS AN IMPROVEMENT LOCATION PERMIT REQUIRED FOR TICS BUILDING/TENANT SPACE?
IF YES, STATE PERMIT NUMBER ISSUED
SIGN TYPE -circle one: ALL GROUND ROOF PROJECTING SUSPENDED PORCH WINDOW OTHER
NO. OF SIDES _ SIGN STATUS -circle appropriate response(s): NEW EXISTING PERMANENT TEMPORARY
OVERALL SIGN HEIGHT FROM GROUND: e FT. OVERALL SIGN DIMENSIONS: FT. x /3 r%%r
6v.0 r TE fir-- FTe�tcs
TOTAL SIGN AREA: Requested SQ. FT. Perntissiblc -3o SQ. FT- COLORS:4PCw-e"
812rGlG *m -e- F! FLO" ";
BUILDING OR TENANT SPACE FRONTAGE DIMENSION- -2-4. FT. BUILDING TYPE: aaom !InFrC
SETBACK OF SIGN FROM NEAREST RIGHT-OF-WAY
r/ rr r/ �
LOGO DIMENSIONS:
ROCS Only
a
r FT.
LOGO IS AS JCS PERCENT OF ALLOWANCE SIGN AREA
ARE THERE ANY EXISTING SIGNS ON THIS SITE? IF YES, EXPLAIN
S14OPPING CENTER OR COMPLEX NAME:
I CERTIFY THAT A PICTURE OF THIS SIGN WILL BE SUBMITTED TO T14E DEPARTMENT OF COMMUNITY
SERVICES WITHIN ONE (1) WEEK AFTER ERECTION OF THE SIGN.
-OR-
I WOULD PREFER A $35.00 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.
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) �E� .
* SIGN ELEVATIONS (depicting all dimensions, copy and color) ti�
* BUILDING OR TENANT SPACE ELEVATION (depicting frontage dimensions and proposed sign location)
* LANDSCAPE PLAN Rcquired for ground signs (depicting tiie planting, mature heights and caliper)
* Ste Samples Attached
SIGN PERMIT FEES:
-PERMIT APPLICATION ..................... $25.00
-SIGN ERECTION ............................. $20.00 PER SIGN FACE PLUS $1.00 PER SQUARE FOOT OVER 32 SQUARE FEET.
-REPLACEMENT OF SIGN FACE IN AN EXISTING CABINET .... 2-5.00 PLUS $1.00 PER SQUARE FOOT OVER 32 SQUARE FEET
(Continued On Page 2)
Page 2 of 2
Carmel/Clay Sign
Permit Application
THE UNDERSIGNED CERTIFIES THAT THE FOREGOING SIGNATURES, STATEMENTS AND ANSWERS HEREIN CONTAINED
AND TI4E INFORMATION HEREWITH SUBMITTED ARE IN ALL RESPECTS TRUE AND CORRECT, AND THIS SIGN WILL 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 TI•IERE-TO, AND SI•IALL 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 TIM-
DEPARTMENT OF COMMUNITY SERVICES ARE ADVISORY.
NERI SIGNATURE
6 c-a ate. ,
S NAME (PLEASE PRINT)
SIGN COMPANY:
ADDRESS: 53 70 mu-, - T-c I—
BUSINESS OWNER'S SIGNATURE
18 2 I A- t"I `A ✓e. ill ELC
BUSINESS OWNER'S NAME (PLEASI3 PRINT)
CONTACT PERSON !am -S�- PHONE:
CITY: -�►� oi.rrrv.•r• o & s STATE: !tif ZIP: `/6.24 �
THE FOLLOWING ITEMS ARE CONCERNS BY STAFF OR PRIOR COMMITMENTS THAT MUST BE ADHERED TO AS A
CONDITION OF THE ISSUANCE OF TI-IIS PERMIT (PLEASE INITIAL EACH ITEM INDIVIDUALLY):
1) x
2) x_
3) x
4) x
5) x
SIGN PERMIT APPLICATION
SIGN ERECTION - Improvement Permit
$ -56•X
1V.11
INSPECTION FEE (Required if photography not provided) $35.00 OIL Photo will be provided
TOTAL FEE zw x Ll�
PERMIT ISSUED BY: Z rL L/ FEE, RECEIVED BY:
RELEASED STAMP:
PAID STAMP:
N
•7T�
AUG 1 9 2002
BY-
s:\sign\appl
revised 10/9-1
}lug OB 00 04
.38p mick scheetz 3178145355
p.3
arc I -.— ----
---•-
x �'d r
— ---1 a / m
1 �
L4_ - < I \.
N
- .........
_ H IL Dr • --r 1 a�
him a �dwFA
^a x r
t...........
i ; ;' C:? 610- 'lf
�- i CIT OF CAf�M ,'CLAY
Ei
' 11401ANA
�• c � '� kF AH
1
1
1 LT,
..�
Ceatcrpoiatc Buaincaa ciri
fxccuL/r coauomL !ac
m
1W
frIl,
tit
•, EOial e¢ by State Board of-Accouate'BaYce.Forme. Syetame, Munim IA. _ - "
RECEIPT
6%NERAL RORM NO. ]!a IREV• 10e71
r
DEPARTMENT
OF G'OMMUNITY SERVICES
N2 222.4
J
FUND�
gh 2
200 �
CARMEL K.
$
RECEIVED FROM
_ _
��-Y�_____��
THE SUM OF
�-
•�
tao DOLLARS
ON ACCOUNT OF__' _ "-- �
PAYMENT TYPE t3 AMOUNT
or-yl
M.O
f
CASH CHEC
E.F.T.—C.C.j.C.
OTHER
—
AUTHORIZED SIGNATUR11