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Application 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/PublicAccess/template/Login.aspx* SPECIAL EXCEPTION APPLICATION -Short Term Residential Rental Units Fee: $107 for first year, $54 for annual renewal Office Use Only DOCKET NO. DATE RECEIVED: Renewal? © Previous Docket No(s). l f ry N APPLICANT I OWNER INFORMATION: #r1 1) Applicant/ Permanent Resident*: _„_Holly Hospel Address: 58 Wilson Drive, Carmel, IN 46032 "Applicants must be a Permanent Resident(may be an owner or lessee)of the proposed Short Term Residential Rental Unit. Initial applicants shall have occupied the Dwelling for at least sixty(60)consecutive days with intent to establish the Dwelling as their primary residence. Renewal applicants shall have occupied the unit for at least two hundred seventy five(275)days of the proceeding calendar year. 2) Project Name: Attorney or Contact Person: Holly Hospel Phone: 317 753 3482 Email: hollyhospel@gmail.com Fax: ProjectDox Uploader: Holly Hospel Phone: 3177533482 Email: hollyhospel©gmail.com 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) Is the property: Owner occupied x Renter occupied Other 6) Record of Ownership: Deed book No./Instrument No. •Page: Purchase Date: PROPERTY INFORMATION: 7) Common address of the property involved: _58 Wilson Drive Legal Description:_Residence/Wilson Village Section 25 T Tax Parcel ID No.: Lot 108 in Wilson Village/Tax ID 290925 8) Zoning District: R-2 Overlay Zone (if applicable): 9) Present use of the property: Primary Residence Page 9 of 11 Filename:special exception handout 2022_strr.docx Rev. 12/25/2021 10) Approximate size of lot/parcel in question: .23 ac acres 11) Are there any restrictions, laws,covenants,variances,special uses,or appeals filed in connection with this property that would relate or affect its use as a short term residential rental unit? If yes, give date and docket number. decision rendered and pertinent explanation. No SPECIAL EXCEPTION PROPOSAL: Note that Special Exception approval is not necessary for specific dates(up to 30 days per calendar year) on which the Mayor has suspended the requirements of UDO Section 5.72. See annual Council Resolution for more details. 12) State explanation of requested Special Exception (e.g. proposed time period(s), intent to rent an individual room(s)or the entire Dwelling). Utilize entire home on occasion for short term rental 13) State reasons supporting the Special Exception: (Additionally, complete the attached question sheet entitled "Findings of Fact-Special Exception"), 58 Wilson is my home that I wish to share on occasion on a short term rental basis. SPECIAL EXCEPTION ELIGIBILITY: 14) Permanent Residence Verification: Please provide a copy of at least two (2) of the following showing that the proposed Short Term Residential Rental Unit is listed as the applicant's residence. Motor Vehicle Registration Tax Record showing standard homestead credit X Driver's License X Utility Bill Voter Registration 15) Registered Retail Merchant Certificate: 16) HAH (Initial) If the proposed special exception is granted, the applicant agrees to post a clearly printed sign on the inside of the front door of the Dwelling that provides information regarding the location of any fire extinguishers and any utility shut-off valves, fire exits or pull fire alarms. 17) Emergency Contact Information: List primary and secondary emergency contact information for use while the dwelling is used as a short term residential rental unit. Information to be shared with the Carmel Police Department if the special exception is granted. PRIMARY EMERGENCY CONTACT Name: Holly Hospel Address: 58 Wilson Drive Phone: 317 753 3482 Email: hollyhospel@gmail.com SECONDARY EMERGENCY CONTACT Name: Address: Phone: ail: The applicant understands that docket numbers I of assigne. all supporting information has been submitted to the Department of Community Services.Applicant Signature: (. Date: 3 P/Z 0Z7� The applicant certifies by signing this application that he/she has been advised that all representations of the Department of Community Services are advisory only and that the applicant should rely on appropriate Unified Development Ordinance and/or the legal advice of his/her attorney. NOTE: Three modes of public notice are required. Page 10 of 11 Filename:special exception handout 2022_strr.docx Rev. 12/25/2021 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 the night of the hearing. Published Notice is not required for renewal applications. 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 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. REALIZE THE BURDEN OF PROOF FOR ALL NOTICES IS THE RESPONSIBILITY OF THE APPLICANT. 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 the applicant to act on my behalf with regard to this application and subsequent hearings and testimony. Signed Name: c (Property ner, A orney, or Power of Attorney) Printed Name: l 4 /Y ( J t.D STATE OF INDIANA, COUNTY OF HO/fl/ //OV , SS: The undersigned, having been duly sworn, upon oath says that th o inf rmatio is true and correct as he is informed and believes. {�-/ ((Signature of Petitioner) Subscribed and sworn to before me this I J day of N reh , 20 c;-(9 : AA) Ki1e, v ot P blic- irature rI l Notary Public— Printed Name My Commission Expires: O 5 dI V s J` noI i(SEAL) KATELIN HENDRICKSON NOTARY PUBLIC SEAL HAMILTON COUNTY,STATE OF INDIANA COMMISSION NO.NP0733512 MY COMMISSION EXPIRES MAY 05,2029 Pane 11 of 11