HomeMy WebLinkAboutApplication w/ AffidavitCARMEL BOARD OF ZONING APPEALS
DEVELOPMENT STANDARDS VARIANCE APPLICATION — HEARING OFFICER
FEES: Single Family (Primary Residence) $187 for the first variance plus $109 for each additional section of the
ordinance being varied. Commercial and Other $763 for the first variance plus $378 for each additional
section of the ordinance being varied.
DOCKET NO.
1) Appiic;
Addre;
Office Use Only
DATE RECEIVED:
2) Project Name: r� L Phone: ,3 — g66 -w o
Engineer/Architecti'Olil D� �'�[,Jv —%YL�2 j 7_Iy�Hnl Phone: -417—
Attorney: Phone: Contact Person:_ UAL ca gayv Phone::74 -,175
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Email: 67, P—/1 a,l041 , WAd
ProjectDox Uploader: Phone:
Email
3) Applicant's Status: (Check the appropriate response)
V(a) The applicant's name is on the deed to the property (b) The applicant is the contract
purchaser of the property. (c) Other:
4) If Item 3) (c) is checked, please complete the following:
Owner of the property involved:
Owner's address: Phone:
5) Record of Ownership: Deed Book No./Instrument No.WitiOEM.LE Rac-TI&J 5 ZIT 78
'-Art Gt"Wm_ z
Page: St-IOIF 344 Purchase date: ki ci m7- 9, i 9
6) Common Address of subject property: /D4O R Wixioeme'lac-'
Legal Description: S9 r% l + AMMIC . 5D &LROtl 9 FWAA' P 17 ka3
Tax Parcel ID No.: �rl� l3— 01-00— 0q- 006, 006 _
7) Explanation of Development Standards Variance request: (State what you want to do and cite the section
number(s) of the Unified Development Ordinance that applies and/or creates the need for this request).
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Cca M AUX vel:;,� Ail go Re-Q1)M fv,
8) State reasons supporting the Variance: (Additionally, complete the attached question sheet entitled "Findings
of Fact -Development Standards Variance").
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Page 1 of 12 Filename: Hearing Officer Development Standards Variance Application & Instructions 2021 Revised 2/25/2021
9) Present zoning classification of the pro
9a) Overlay Zone of property (if applicable
10) Size of lot/parcel in question: acres/sq. ft.
11) Present use of property. 1
12) Describe proposed use of property: FAMILY
13) Is the property: Owner occupied �_ Renter occupied Other
14) Are there any restrictions, laws, covenants, variances, special uses, or appeals filed in connection with this
property that would relate or affect its use for the specific purpose of this application? If yes, give date and
docket numb e , instrument no., decision rendered and pertinent explanation.
15) Has work for which this application is being filed already started? If answer is yes, give details:
Building Permit Number:
Builder:
16) If proposed appeal is granted, when will the work commence? DCTOBGsi2. 20 �, 1
17) If the proposed variance is granted, who will operate and/or use the proposed improvement for which this
application has been filed?r-
j�-�
NOTE: Three modes of public notice are required.
LEGAL NOTICE shall be published in the NEWSPAPER according to the Chart on page 5 a
MANDATORY 10 days prior to the public hearing date. The certified 'Proof of Publication" affidavit for the
newspaper must be available for inspection by the night of the hearing.
LEGAL NOTICE to all adjoining and abutting property owners is also MANDATORY, two methods of notice
are recommended:
1) FIRST CLASS MAIL with CERTIFICATE OF MAILING sent to adjoining property owners. (The white
receipt should be stamped by the Post Office at least 10 days prior to the public hearing date), OR
2) HAND DELIVERED to adjoining and abutting property owners (A receipt signed by the adjoining and
abutting property owner acknowledging the 10 day prior notice should be kept for verification that the notice was
completed)
LEGAL NOTICE via a Notice of Public Hearing SIGN posted on the property is also required; see Page 7.
THE BURDEN OF PROOF FOR ALL NOTICES IS THE RESPONSIBILITY OF THE APPLICANT.
The applicant understands that docket numbers will not be assigned until all supporting information has been
submitted to the Department of Community Services.
Applicant Signature:
Date: 0 2 l — 2O 74
The applicant certifies by signing this application that he/she has been advised that all representations of the Dept.
of Community Services are advisory only and that the applicant should rely on appropriate Unified Development
Ordinance standards and/or the legal advice of his/her attorney.
Page 2 of 12 Filename: Hearing Officer Development Standards Variance Application & Instructions 2021 Revised 2/25/2021
AFFIDAVIT
I hereby swear that I am the owner/contract purchaser of property involved in this application and that the foregoing
signatures, statements and answers herein contained and the information herewith submitted are in all respects true
and correct to the best of my knowledge and belief. I, the undersigned, authorize t Opplicant to acton, my behalf
with regard to this application and subsequent hearings and testimonK
l'
Signed Name:L2j
(Prope weer, Attorney, owe orney
STATE OF INDIANA
SS:
Printed Name:
County of Hc-V,40.N Before me the undersigned, a Notary Public
(County in which notarization takes place)
for ((�co1^1<
(Notary Public's county of residence)
County, State of Indiana, personally appeared
'-^ ( .tea -A- Qcer!r, krt_� and acknowledge the execution of the foregoing instrument
(Property Owner, Attorney, or Power of Attorney)
this 2 day of � �°^�� 20 2
(date) (month) (year)
SEAL
O�PAY PUG
Paul H Sloan III
* - _"' # Notary Public • State of Indiana
Commission Number: NP0672999
My Commission Expires: 09-15-2023
k H s�_ ad
Notary Public --Signature
0"j P( S ior"V-� M
Notary Public --Please Print
My commission expires: (7 6V I - O Zu 23
Page 3 of 12 Filename: Hearing Officer Development Standards Variance Application & Instructions 2021 Revised 2/2512021