HomeMy WebLinkAboutApplication w/ AffidavitCARMEL BOARD OF ZONING APPEALS
DEVELOPMENT STANDARDS VARIANCE APPLICATION
FILING FEES: Single Family (Primary Residence) $366.00 for the first variance, plus $109.00 for each additional
section of the ordinance being varied. All Other $1,459.00 for the first variance, plus $687.00 for each
additional section of the ordinance being varied.
DOCKET NO.
1) Applicant
Address:
Office Use Only
DATE RECEIVED:
2) Project Name: Z= 7/CC- j 'G /e`_ Phone:
Engineer/Architect: D Ca 12C E FruC t r1,4 6/n .-. F % , C Phone: 3/ 7 -2_ 0 i - `) 73 L.
Attorney: Phone: '7 G
Contact Person: -'Joh 0 LAdo (J Phone: 3 j � - [ ri 0 �Zq ()
Email:—, U h A rf' r vc o f vn, e coyy9
ProjectDox Uploader:Phone: i i ",� 0 0
Email: JCb, c_ ' 1,2 0. M A , f U
3) Applicant's Status: (Check the appropriate response)
(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.(X)ct( raA44 j Dre� �-h S / Z_c) i Z ; ZUi Z- -q po
Page: Purchase date: Q 2-0 t Z
6) Common address of the property involved: 1 U7q �/ f�CrQ i s U t i f
Legal Description: Se.c4 lur, iJ3 . �a�,rlS' ", 171 6""ie 07, Q(.ACf 4'S 44t)t SeCilv'n Z , 13
Tax Parcel ID No.: S ' (J J 0 13 ()00
7) Explanation of requested Development Standards Variance: (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.)
U Q rti 7�Oof I q i � - 1G�G'�?e/ ( C/uS-j Tti�' u� U �he �•r,s���i� uc
8)
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Reasons supporting why the BZA should grant the Development Standards Variance: (Additionally, complete
the attached question sheet entitled "Findings of aFanct-Development /Standards Variance").
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1) eel PI(I cP fh-e �1(rUCc..l cc7-fu1cf -ihe 164 -tiAU ayld
c per -le a /1 „h plouP��( � s-��ie �o G l/ �S d�sc�I e_d �
P1. 1
9) Zoning district classification of property:
9a)
Overlay Zone of property (if applicable):
10) Size of lot/parcel in question:
11) Present use of property: �e-!C I CJ (f✓l 1 I Ci
12) Describe proposed use of property: res I oe— 4 i c� I
13) Is the property: Owner occupied Renter occupied Other
ft.
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 number, instrument no., decision rendered and pertinent explanation.
4)UNe 4o 4ik-c J"es� o� Gc.,1 ky?o&j)Pdar _
15) Has work for which this application is being filed already started? If answer is yes, give details:
Building Permit Number: r Z-UZl " 0® ZIZ�
Builder: —Dr( jar Gum n-, L LC -
16) If proposed appeal is granted, when will the work commence?
u P cam � - c,s / v e a NoQem� / ens .1.e/ 7-uZi
17) If the proposed variance is granted, who will operate and/or use the proposed improvement for which this
application has been filed? , -�
NOTE: Three modes of public notice are required.
LEGAL NOTICE shall be published in the NEWSPAPER according to the Chart on pace 5
MANDATORY 20 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 20 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 20 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 pace 8.
THE BURDEN OF PROOF FOR ALL NOTICES IS THE RESPONSIBILITY OF THE APPLICANT.
Date: 10Z Z i
The applicant certifies by sigMrrg this'6l*cation 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.
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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,- ate iz e licant to act on my behalf
with regard to this application and subsequent hearings and testimony.
Signed Name:
(Property Owner, Attorney, or Power of Attorney)
STATE OF INDIANA
SS:
Printed Name: -�i %� �u ulC� 0
County of R, vj%,; kAv 1, Before me the undersigned, a Notary Public
(County in which notarization takes place)
for �' �2 County, State of Indiana, personally appeared
(Notary Public's county of residence)
and acknowledge the execution of the foregoing instrument
(Properly Own r, Attor ey, or Power of Attorney)
1� , ' this Z � day of ` ��`� -20
(SEAL)
O�PPY p��G
Paul H Sloan 111
* SEAL Notary Public - State of Indiana
Commission Number: NP0672999
Nr"'Fo Nor`' My Commission Expires.09-t5-2023
0(, V ( ,
Notary Public --Signature
1 4"1 H 1Tl
Notary Public —Printed Name
My commission expires:
Page 3 of 12 Filename: development standards variance application & instructions 2021 Revised 2/25/2021