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National City (east elevation) 04090239
S;GiJCOPY &A—YA DATE RECEIVED: NAME OF BUSINESS �4 SIGN ADDRESS 'SIGN PERMIT APPLICA"I'ION PERMIT NUMBER: 00N.51 PHONE: °2/,, 7lo1li ADDRESS: l© S 70 A - Tz D CITY: _STATE:`""- /� ZIP: PROPERTY OWNER 17'l��ls-C �� ? �//�-fll� PHONE: -'ZG ADDRESS: C/ 5�2-• CITY: ^�P�S STATE/'f/' ZIP ZONING DISTRICT: OVERLAY ZONE�31 421 431 OLD TOWN: YES _ NO t/ REQUIRED APPROVALS: Plan Commission Docket #D�I'i-+WIjj=' BZA Docket # IS AN IMPROVEMENT LOCATION PERMIT REQUIRED FOR THIS BUILDINGITENANT SPACE? IF YES, STATE PERMIT NUMBER ISSUED DOCS Only SIGN TYPE -circle one: 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: / FT. OVERALL SIGN DIMENSIONS: % S FT. x /3 2 s FT. TOTAL SIGN AREA: Requested 1?0 SQ.FT. Permissible BUILDING OR TENANT SPACE FRONTAGE DIMENSION: FT. SETBACK OF SIGN FROM NEAREST RIGHT-OF-WAY: SQXT. COLORS: P/Yi7_1 44 /¢[� �IrJ�iS15 BUILDING TYPE: FT. LOGO DIMENSIONS: LOGO ISM PERCENT OF SIGN AREA ARE THERE ANY EXISTING SIGNS ON THIS SITE? IF YES, EXPLAIN ��Ll��' ��� C'a•�S / J iG SHOPPING CENTER OR COMPLEX NAME: 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 $93.50 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) * 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 ........................... $75.00 -SIGN ER.ECTION....................................... $30.00 PER SIGN FACE PLUS $1.60 PER SQUARE -REPLACEMENT OF SIGN FACE IN AN EXISTING CABINET-430.00 PLUS $1.60 PER SQUARE FOOT (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 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 THE ZONING ORDINANCE OF CARMEL/CLAY 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 OF THE DEPARTMENT OF COMMUNITY SERVICES ARE ADVISORY. PROPERTY OWNER' SIGN RE BUSINESS OWNER'S gIGNATUR PROPERTY OWNER'S NAME (PLEASE PRINT) BUSINESS OWNER'S NAME (PLEASE PRINT) SIGN COMPANY: _ CONTACT PERSON SrON S` ADDRESS:, CITY: �/f%��L� STATE:4A 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 ITEM INDIVIDUALLY): 5) x SIGN PERMIT APPLICATION SIGN ERECTION - Improvement Permit INSPECTION FEE (Required if photography not provided) OD $ 3 $93.50 O`R� ata will h TOTAL FEE $ ! s✓ _ i _ .,__ PERMIT ISSUED BY: �'�' t/v'�if7 FEE RECEIVED BY: «� ��-e-zd RELEASED STAMP: PAID STAMP: TT CLAY s:lsign\nppl ��' L+IZP{ �� r,# LOJ rl revised 01/20042�?. P.04