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12/20/2005 15:11 FAX 317 571 4089 CARMEL CLAY SCHOOLS FAC. ~ CRIPE
DEC-20-05 TUE 10:41 AM PAUL I. CRIPE, INC. FAX NO. 317 841 4798
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05120017 TAC
DOcKer NO. Oraha11f Perle Elemenl.'t~ SohaoI
TAC
DATE RECEIVED:
For Deplllfmenf Un Only
Department of Community Services
TECHNICAL ADVISORY COMMITTEE
APPLICATION & PROCEDURES
Fee: $267.50
Properly Information... .. ... .. .. .. .... . ... ... . ...... . II.... . ...... .... . . ........... .... I .... "'...... II ..... .. · ..
Parcel 10-: 1713120202015000 A""a (acres): 11.65
Property Address: 10404 ORCHARD PARK SOUTH DRIVE
Zoning District: S 2 Overllil)' DIstrict (If applicable):
legal Description: To be typewritten separate/yo
. Please attach a 8fJpa'~ lISt for projects wIth multlp/6 parcels.
JlttorneJflnfor~ation."...."..."'...""""""."'.'.'.......,.................................~.
Name:
Adclress:
f:1hane:
Emeff Address:
Fax:
Engineer 'nfonnatlon ...... ..... ................ ........... ... .......... .....................,.. .....
Name: Karen Collins, PE
Address~ Paul'. Crtpe, Inc., 7172 Graham Road. Indianapolis. IN 46260
Phone: (317) 842-6777 Fax: (317) 841-4798
Emall Address:koolllnS@crlpe.b1z
()Mrn81'nlb~8eton........................~.............,.,.................,.............,..,..."..
Name; Rollin E. Farrand Jr.. RA
Address: Carmel Clay Schools, 6185E. 131st Street, Cannel. IN 46033
Phone Day: (317) 815-3982 ph (317) 571-4089 fax EvenIng:
EmaJl Address: rfarrand@ccs.k12.in.us
"roJect~$cti"t'on........,............................'...........,.~...........................,..
Please Ine/ude a brIefsummaryJhlstory of the project: ThIS Is a building addition for a 4 KIndergarten Classroom to
the exIsting Orchard Park Elementary School.
I. horeby swllar thaI I 8m the owner/conlract purchaserol'property Involved In this application and that the faregolng signatures, slalements
and anlWier& herein eontained and the lnrorinatfon hereWIth submltted lire In IIn reapedll true IInd correct to the beet of my lmowlodl1o on<!
be Dot. '. the undersigned, BUthortze the appIJc&nl to Bet on my behalf wilh regllrd 10 this sppIIcotion and $lIbscquent hoartngeantSlolltimony.
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S:\FORMS\PC Applications - current\TAC only.doc
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12/20/2005 15:11 FAX 317 571 4089 CARMEL CLAY SCHOOLS FAC. 4 CRIPE
V~v-2U-05 rUE 10:41 AM PAUL I. CRIPE, INC. FAX NO. 317 841 4798
('
SI,n."'... 01 """""_ ~.aL t -::t-~ d-
Rollin E. Farrand Jr., RA
(Printed Name)
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S:\FORMS\PC AppllcaUol1ll . currenl\TAC only.doo
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