HomeMy WebLinkAboutApplication w/Affidavit *This is a PDF version of the application.The official application should be created and submitted online via the
Public Portal: https:!/cw.carmel.in.gov/PublicAccessltemplate/Login.aspx*
HEARING OFFICER DEVELOPMENT STANDARDS VARIANCE APPLICATION
FILING FEES: Single Family (Primary Residence) $192 for the first variance, plus $112 for each additional section of the
ordinance being varied. All Other$786 for the first variance, plus 389 for each additional section of the ordinance
being varied.
DOCKET NO. Z.- 2b22• 00O-51 / DATE RECEIVED:
1) Applicant: VI 111%IL V� V . ?u....k *\VI VA
�t
Address: 11 . 14.w ��` _.(d1At.imDo1Lo. . 4Cp'L7 j
2) Project Name: (i t A Phone:
Engineer/Architect: Phone:
Attorney: Phone:
Contact Person: tk`ft VW I) , tol.Ut i Mak Phone: ''11.5b1-"WE,4-1
Email: ata?1,1 (fit{M € fkgi te7 i4 0 cow'
ProjectDox Uploader: tAlsi 1 AI Phone: '"))r?- `3ea ` B 418
Email: €)IAg oi,P A U i Air c °1.4,\L I ItoW1. S CA k 4 co i
3) Applicants Status: (Check the appropriate response)
(a)The applicants name is on the deed to the property (b)The applicant is the contract
e purchaser of the property. (c) Other: V.t OW/40 e . g�
7
4) If Item 3) (c) is checked, please complete the following:
Owner of the property involved: Aotk I44, 41 i) eritlel.
Owner's address: (aO 6 6442016i Ait. L tt 4120 Phone: '2o _ 'iMA_ T34-
5) Record of Ownership: Deed Book No./Instrument No. 1-6$Page: 27 Purchase date: 2 '2' 3 - 2o z2-
6) Common address of the property involved: (41, 460.44A DZ. ulesv ap'ote` ra 44072.
Legal Description: 5 \614 3k. UJ►�5li AA 4 144.1moks 4ticitfj 1 LQ� ;J1.
Tax Parcel ID No.:UP- lQ -3l- O 1- Q 4 - O 4:6, O&
7) Explanation of requested Development Standards Variance: (State what you want to do and cite the section
number(s) of the Unified Development Ordi nce that applies and/or creates the nee for this re uest.)
1E (A S d c 2 .to - c44- Vp�aiJu�+� �e� �o� co
Pow ->-o 4i . --ot Coo>Teix.ctibo A A i lrtw ctkaolitA i4be.
8) Reasons supporting why the BZA should grant the Development Standards Variance: (Additionally, complete the
attached question sheet entitled "Findings of Fact-Development Standards/ }'�
Variance").
1 (.6V-1 ri A.atnA+ab Mt tD1.f 1 1-1 p � ta
06 . 1�F� 1itui osA€ c�VZ U1
(044u-i-e. PevilE kinoo-tA Ai►it- eatc6 o4--1A*. &wee-1 i4- .1444(14
\J e k-Z0.-
9) Zoning district classification of property:
Page 9 of 11 File:Hearing Officer Development Standards Variance Handout 2022 Revised:01/03/2022
9a) Overlay Zone of property (if applicable):
'10) Size of lot/parcel in questions acres/sq.ft.
V 11) Present use of property: 41.c� �j Rdu, Oft.. 'BektAt
12) Describe proposed use of property: QR.t&{ C.4.4`1 \'1\OILt 10 Ri..c,1 wkiftt
Mtg.& et titk G_At2tuA 6,44141
13) Is the property: Owner occupied ✓ Renter occupied Other 'A0 %A/ VWtoit Of OVA
v� `Jl
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.
VA
15) Has work for which this application is being filed already started? If answer is yes, give details: 14 la
Building Permit Number:
Builder:
16) If propose a peal is ranted,yK will the wor co `I
17) If the proposed variance is granted,who will operate and/or use the proposed improvement for which this application
fps been filetekk- GusAtut:400 rm., Gat, 1-ft• t 14 p __.1{
NOTE: Three modes of public notice are required.
‘ZEGAL NOTICE shall be published in the NEWSPAPER according to the Chart on page 5 MANDATORY 20
days prior to the public hearing date. The certified "Proof of Publication" affidavit for the newspaper must be available for
inspecV by the night of the hearing.
EGAL NOTICE to all adjoining and abutting property owners is also MANDATORY; two methods of notice are
recommended:
4) 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
propertypwner 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 page 8.
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: ` y ), (iL� Date: J ,- _2Z
The applicant certifies bey sig .rig this application that he/she has been advised that all representations of the
Dept. of Community Services re advisory only and that the applicant should rely on appropriate Unified
Development Ordinance standards and/or the legal advice of his/her attorney.
Page 10 of 11 File:Hearing Officer Development Standards Variance Handout 2022 Revised:01/03/2022
AFFIDAVIT
I. being duiy sworn depose and say 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, 1,
the undersigned, authorize the applicant to act on my behalf with regard to this application and subsequent hearings
and testimony.
STATE OF INDIANA
SS:
Signed:
s(Property wner, Attorney, or Power of Attorney)
(Printed Name)
The undersigned, having been duly sworn upon oath says that the above information is true and correct and he is
informed and believes, fJ ,
(Signature of Petitioner)
County of ���
Before me the undersigned, a Notary Public
(County in which notarization takes Oace)
for lv- C� 10 VN
(Notary Public`s county of residence)
County, State of Indiana, personally appeared
! ` 1 vA and acknowledge the execution of the foregoing instrument
(Property Owner, Attorney, or Power of Attorney)
day of
(day)
20
(month) (year)
Notary Public --Signature
APJEL BLACKBURN
NOtary Pubiic - 5eai
hlwlon County - State of Indiana
Commi5sion Number NP0737269
t4y Commission Expires Nov 4, 2429
trite �1Ci .� tr 1
Notary Public— Please Print
My commission expires: V'v�
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