HomeMy WebLinkAboutCOS Insurance Services S126.97SIGN COPY: SIGN ADDRESS: 'Fv "C coriycg P►e. fUf r4rE
CARMFJ CLAY TOWNSHHP HAMII.TON COUNTY INDLANA
SIGNiPERNIIT P CATION
DATE RECEIVED.' S PERMIT NUMBER:_
2
NAME OF BUSINESS: Its.¢ .,a ��-*y •r PHONE: 573 M OC
ADDRESS: Al A c'n i nvvh CITY: 44,2*-t STATE: ZIP: -
PROPERTY OWNER: �.a.P OILS 3 4L-LG PHON ,,1-7 - P( _5-11 I
ADDRESS: CITY: CAA- c-e— STATE: ZIP: b03Z.
ZONING DISTRICT-' 55
OVERLAY ZONE: 31 431 421 OLD TOWN: YES NO
REQUIRED APPROVALS: Plan Commission Docket # - aBZA. Docket # DOCD Only
IS AN IMPROVEMENT LOCATION PERMIT REQUIRED FOR THIS BUILDINGITENANT SPACE?
IF, YES STATE PERMIT NUMBER ISSUED
SIGN TYPE -circle one: WALL GROUND ROOF PROJECTING SUSPENDED PORCH WINDOW OTHER
NO. OF SIDES / SIGN STATUS -circle appropriate response(s): EW EXISTIN ERMANENT TEMPORARY
OVERALL SIGN HEIGHT FROM GROUND: 9 'FT. OVERALL SIGN DIMENSIONS: S' FT. X 2 L to" F
448 . r&- copy
TOTAL SIGN AREA Requested- I �1v SQ. FT. Permissible- SQ. FT. COLORS:
BUILDING OR TENANT SPACE FRONTAGE DIMENSION: FT. BUILDING TYPE:
SETBACK OF SIGN FROM NEAREST RIGHT-OF-WAY: 27 Fr.
LOGO DIMENSIONS: ,LOGO IS PERCENT OF ALLOWABLE SIGN AREA
ARE THERE ANY EXISTING SIGNS ON THIS SITE? IF YES, EXPLAIN
SHOPPING CENTER OR COMPLEX NAME:M�2
I CERTIFY THAT A PICTURE OF THIS SIGN WILL BE SUBMITTED TO THE DEPARTMENT OF
COMMUNITY DEVELOPMENT WITHIN ONE (1) WEEK AFTER ERECTION OF THE SIGN.
-OR-
I WOULD PREFER AN ADDED $35.00 INSPECTION FEE TO BE ADDED TO THE COST OF THIS PERMIT
TO COVER THE COST OF THE STAFF OF THE 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 sign location)
* -SIGN ELEVATIONS (depicting all dimensions, copy and colors)
* -BUILDING OR TENANT SPACE ELEVATION (depicting frontage dimensions and proposed sign location)
* -LANDSCAPE PLAN, Required for ground signs (depicting the plantings, and mature heights and caliper)
* See 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 ... $ 25.00 PLUS $ 1.00 PER SQUARE FOOT OVER 32
SQUARE FEET.
(Continued On Page 2)
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Page 2 cif
Carmel/Clay Sign
Permit Applica Lion
THE UNDERSIGNED CERTLFIES THAT THE FOREGOING SIGNATURES, STATEMENTS AND ANSWERS '�
CONTAINED AND THE 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 11M "ZONING ORDNANCE OF C,ARMEJJCLAY TOWNSHIP, INDIANA AND ALL ACTS
AMENDATORY TIiEREI'O, AND SHALL BE ERECTED WITI•IIN SIX (6) MONTHS OF THE DATE OF ISSUANCE Olt
THIS PERMIT IS NULL AND VOID.
FURTHER, THE UNDERSIGNED CERTIFIED BY SIGNING THIS APPLICATION THAT ALL REPRESENTATIONS BY
THE DEPARTMENT OF COMMUNITY DEVELOPMENT ARE ADVISORY.
L Lug, ZG:,
PROP (PLEASE P NT)
S S �OEASGNA '
G u 12T1s e- kl gs;�
S S h "LEASE PRINT)
.. SIGN,COMPANY: r CONTACT
D 7s=
Ir
ADDRESS: �3 k1_ �' r CITY. _ eic .STATE: �, ZIP•�f�o'Z(9
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
3) x .. .
5) x
SIGN PERMIT APPLICATION,
7,,..... 4; . .. k .
SIGN ERECTION - Improvement Permit S '�
INSPECTION FEE (Required if photography not provided)
TOTAL FEE S
PERMIT ISSUED BY:' ' - FEE RECEIVED BY: