HomeMy WebLinkAboutStrategic Health Plans Corp. S11.01SIGN COPY n� t- � ►-[ 5 boy SIGN ADDRESS 'Zo �Kl uTcyc� A2 , ✓u[!ti
CARMSLICLAY TOWNSHIP, HAMILTON COUNTY INDIANA
1�
` SIGN PERMIT APPLICATION f
DATE RECEIVED: PERMIT NUMBER:
NAME OF BUSINESS S 5 c� !`{r+-� C� PHONE: .3 30
ADDRESS: CITY: CA 2 an &Z- STATE: ZIP: E;
PROPERTY OWNER 6"A ,c ► n 6� c 14 Fr 3 `t L Lam- PHONE:
ADDRESS: 02 7 P ea- - CITY: G<12 fi ez- STATE: Z7A/ ZIP: I' y6 0 3 Z
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ZONING DISTRICT: OVERLAY ZONE: 31 421 431 OLD TOWN: YES NO
REQUIRED APPROVALS: Plan Commission Docket # BZA Docket a DOCS Only
IS AN IMPROVEMENT LOCATION PERMIT REQUIRED FOR THIS BUILDING/TENANT SPACE?
IF YES, STATE PERMIT NUMBER ISSUED
SIGN TYPE -circle one: WAL GROUND ROOF PROJECTING SUSPENDED PORCH WINDOW OTHER
NO. OF SIDES SIGN STATUS -circle appropriate response(s): NEW EXISTING 1113.RMANENT TEMPORARY
OVERALL SIGN HEIGHT FROM GROUND: p FT. OVERALL SIGN DIMENSIONS: �FT. x 1,7
7 Fr.
TOTAL SIGN AREA: Requested _ Z 3, 3 SQ. FT. Pennissible SQ. FT. COLORS: a46tai kgl4e;,4.
BUILDING OR TENANT SPACE FRONTAGE DIMENSION: FT. BUILDING TYPE: 0.1—
SETBACK OF SIGN FROM NEAREST RIGHT-OF-WAY: ?o FT.
LOGO DIMENSIONS: rx o2 — �, ` LOGO IS PERCENT OF ALLOWANCE SIGN AREA
ARE TI-TERE ANY EXISTING SIGNS ON THIS SITE? IF YES, EXPLAIN
SHOPPING CENT •R OR COMPLEX NAME: C'q �f�+ �z.
I CERTIFY TI-TAT 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 $)�,-00fINSPECTION FEE BE ADDED TO THE COST OF THIS PERMIT TO COVER THE COST
OF THE STAFF OF TIME DEPARTMENT OF COMMUNITY SERVICES TAKING TIIIS 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 �= (11IR1 6,
SIGN PERMIT FEES: t( 6t iA A ,°
-PERMIT APPLICATION_. . ................ .
-SIGN ERECTION ............................. $2 . PER SIGN FACE PLUS $ PER SQUARE FOOT OVER 32 SQUARE FEET.
-REPLACEMENT OF SIGN FACE IN AN •XISTING CABINET .... v . PLUS SjW PER SQUARE FOOT OVER 32 SQUARE FEET
�) S: 4L, i `;<' (Continued On Page 2)
Page 2 of
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 CARMELICLAY 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.
SIGNATURE BUSINESS OWNER'S SIGNATURE
PROPER17 OWNER'S NAME (PLEASE PRINT) BUSINESS OWNER'S NAME (PLEASE PRINT)
SIGN COMPANY: %k _ Sr -� G2e� CONTACT PERSON & PHONE:
ADDRESS:
�-3% Iv • JV b J�—
CITY:STATE: 4;�, ZIP:
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 INDMDUALLY):
5) x
SIGN PERMIT APPLICATION
e r)
SIGN ERECTION - Improvement Permit $
INSPECTION FEE (Required if photography not provided) 35:00 OR
TOTAL FEE
PERMIT ISSUED BY:"Wn
RELEASED STAMP:
s:\sign\appl IOKMANA
-evised 10/97
hoto will be provided
$ 63• OD
FEE RECEIVED BY: i
PAID STAMP:
LFEB - 6 2001
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