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Application DP* This is a PDF version of the application. The official application should be filled out online at the link below or at h ttps: Ilcw. cannel. in.go v/PublicAccess/tenzplate/Login. aspx?Return Ur1=%2f template%2fHolne. aspx DEVELOPMENT PLAN / DP AMENDMENT APPLICATION Fee*: $1,185 plus $153 per acre DATE: DOCKET NO. (Check all that apply) F✓ DP ❑ DP Amend ❑✓ ADLS/ADLS AMEND Attached Name of Project: Project Address: Carmel Midtown Redevelopment (Former AT&T Site) A portion of 210 3rd Ave SW (former AT&T Site) and a portion of 449 & 451 Emerson Rd Project Tax Parcel ID 4: 16-09-25-04-05-001.000; 16-09-25-04-03-006.000; 16-09-25-04-03-005.000 Legal Description: (Please use separate sheet and attach) Name of Applicant: PST Land Holdings LLC and Pure Development Capital, Inc. Applicant Address: 815 E. 65th Street, Suite 200, Indianapolis, IN 46220 Contact Person: Brian J. Tuohy, Attorney for Applicants Email: btuohy@tbmattorneys.com Eplan Review Contact: Brian J. Tuohy 317-638-2400 e: Phone:317-638-2400 Email: btuohy@tbmattorneys.com PST Land Holdings LLC and Name of Landowner: Pure Development Capital, Inc. Phone: Landowner Address: 815 E 65th Street, Suite 200, Indianapolis, IN 46220 Approx. 1.15 acres +/- R-2 & C-2 Parcel Size: Zoning District: Overlay Zone: Present Use of Property: Proposed Use of Property: Vacant former AT&T site and single-family residential Office uses *Note that required fees are due after the application has received a docket number, and not at the time of application submittal. Page I Filename: Development Plan and DP Amend Application 2022 Rev. 5/12/2022 OWNERS AFFIDAVIT The undersigned agrees that any construction, reconstruction, enlargement, relocation or alteration of structures, or any change in the use of land or structures requested by this application will comply with and conform to all applicable laws of the State of Indiana and the Unified Development Ordinance of Carmel, Indiana, adopted under the authority of Acts of 1979, Public Law 178, Sec. 1, et seq., General Assembly of the State of Indiana, and all Acts amendatory thereto. Signed: Owner PST Land Holdings LLC & Pure Development Capital, Inc. by Drew Sanders, Authorized Representative (Typed/Printed) STATE OF INDIANA SS: Agent (Typed/Printed) The undersigned, having been duly sworn upon oaths ys that above information is true and correct and he is informed and believes. n (S� nat re o ktitioner) County of 1 W�r�O� Before me the undersigned, a Notary Public �� (County in which notarization takes place) l foryn& oc's County, State of Indiana, personally appeared (Notary Public's county of residence) •-T1AA 11 and acknowledge the execution of the foregoing (Property Owner, Attorney, or Power of Attorney) " * instrument this day of�� 20 ;' (day) (month) (year) i \\��`�G o�missian•F�'�i,��/ NOTARY w oth,blic- ignature _ BLIC = Notary Pub lic—Printed/Typ d Name is s SEAL a: s eo Qo6°• �� My commission expires:7i�___- �i,•9j••• N�mbet N • �PO�� _— — Page 2 Filename: Development Plan and DP Amend Application 2022 Rev. 5i12/2022