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HomeMy WebLinkAbout06040013 Signed Demo 03127~2006 11:40 FAX 3177788508 M=lR-24-ail06 01' 35P FRll'l: me kn I9h t 8 HAM CO HEALTH OEPT demolition 317-183-3677 IgJ 002/003 TO, 77G&l6 P:l'i2 " ....... Demolition Pennlt Requirements City of Carmel IC'IY Townsh't>> IlIIlkliI;&Qo.ujlr""'-.....~ CI:o.tdc.mtl OII8CMt~ ~IN 4GOIl2 PIt..(317)m-2444 ~(31t)81"\44AIll , , , , I 'IWo _188 of. a1te Ioodon 11l8p-d8llly IdenttfyJng.tha IItrucbri or 8trud.uN$ to be dernoI....., the Tax Yep paII'OII number for ... piillnl8l an WhIch the d8lftalllton .. . OCCUr, _lid this ftlrm algnecl.= eppn,priafe de,... b........ r..appllqflllon I.. thnu ptlrt fOmJ iMIIIltbIe hm the . eoct. ' ~0JrIw) ~l " A -p&/'8fIe permit appir--9lkm must be oampIeted per ~. Cert8ln ~. ~re requlnlc:l reIaiIng to prtvala welI8, aeptic ~ Im;I fuel lana, prfor eo cIen)oJlUon. s.tIouId 8ppI'll\1IIls be 1IlqUb8d tom atharState or 10011 QClWmrnont enIIIie8, or .rdlllta9 (Olher.... ... lddrlT r LJ hnn),lt 181he eoIe ....panelblIily of the conb-b of record to abtIIln _ appnMIIa. " ~ WGIIi WeD muot"pIllCBllld ~.. t/) Well Ordbtance.wa. &V- B -_ SeptIC syabo... muet bit ~ IftcI filled wifh II8ftd, or NIl.:.._ If..,ao , arewn .. to MIWIeCf" It mu... PI...... 011 UIIfI,.. lor.......... AIfIIl T... FIlet IBnIaI must bo........lIIId Nt'lIOWd fftn bulldmg endIor pnlpdrty. ~Ot~I(,tJ L l)~ __' g .~~e. ecL8DX {g/~5 T~,~.T:~ AfltJIIk.deI ~sJ on site: YiIs ~ '(/')IlI8, please IIlIt lI1e number end fMle(s) or ~ an the llne8 PftMcfed. If ono ai~... a __..1\0 8lree18Cf<lre11lhan tI'Ie' Pltm8ry ~ On the P8Rl84~r--- _Include ht information.) " . - 17IfI City at CfJtmeIat/dtJr HamIlton COUn(y HefIIth Oapt. It'U#t PfHtt.,,,, an ""'If dkJn pnor b demoIIfJon. In 0frIe1'1a IIppfr1WJ the d:1moIitJon />>II7IIt" thtI.,,11OInt ItIlWftl/lwljb" tII1a farm Mtl~ "",~u-_. (fhIs oenOtclaneIJyFAX~""'" am~ ., tIte~ HIIMd hI'oW) IncIcictI oompl'W Ibmt wltIr fll ~_ ' *~ (ON 7'H6 M\I'ERa' OF'J'HIS P'AGe) when)'OU tIUbmIr ~~." pulttttl& 1. "'MuIete.v.=mor.- M"~OI1Jnl:It4mIr.~OfC8llntl; PhtJIM(lW)m /W((I1'1)6Nca. - '. " .' a. .8any~ IiIIm!IIon CormIy".., Dept; , ,.""", (lf7J 77N.ftlO. JIIAX (31'l) m 81101. ~;,,~~, ~r.....'-1aut 'ilia ~-3-SIillil6 FRi lI"iIliIAM lD....kflt."~ d......lI hon ~rllllk,in.. PA9E:;:S MAR-27-2006 MON 11:03AM ID:mcknighl demolilion lrucking PAGE: 2 83/27/2886 11:51 3175712265 CARMEL UTILITIES PAGE 83/03 P,2'2 ~, 114 MAR-24-2l1JEl6 il,1I33P. ~RO"1'.mcknight demolltion 31l'-T83-~~.77 TO: 5712265 Il/lIHla-2000 flU lO:4!l M\ FAX 00. . . ~41# . - - - ..:::......M -.1 .... '=3 ~ 9. ~- 6'<~ SltJnatu1&: aarry"MctluIlW lor~) l T Date CERTIFICATe OF AUTHORITY Under the f!lIo/"'~ of pelJUlY (Indiana CodO 21114 2.1),1 ~ IIftil'm, under~. tllat 1dI of lt1e l~.fdlllOn I have ,~ in tIII8 ~ for demoIltIon plnnlt Is true 1dId~, fa lhlI bllltvfmy mcMlIMIga _1le1I&f,.....th8t,...... not \owIwIII1JIr or Ir\fIlIIfJDnaII prr...idad or omhlad any Infona1ItiIIn tIUIl Would 1WId 110 tlIdII. _iIlU", or otMtwiloG mhilRd the Oat- blM afeamnw. hnlCGO I~. WIh of"'- fl1ItI8nI...ddM..all...... FIII'IIW. , llSIlIlt 8llIt I am tile propertI eMIIIIlII'. or the aufll."Md and IIIwfuUy ~..... of . tM owner(aJ, _, haVe.... adaefHr IPd plM'IillBllan tram ht flIWIIOC(s) (8I1d lIftYOM wm.. /_unhd Ina._C1utl1lll' illllll'eat In 1M ..,.~ to_~ ~ecuon.- thatl..... 1ID IJIdemI'lll\f and hold ha.1\dIH IhII CilyGf c:.nnet rrom ltIlY cIafm, IaIIdUlt, ~ Ill' daI'l7r wl\.atIlaa"llll'lIriIIn5t out of. or 11& a ..lilt at, 8118 ~ or _ ~ of tM Cfty of C8.\'mII. regaRIIng ...... , ,- ~i~/7 ~'A~1I6jOb ~":"~=il(fL~ AlGA t'\ I ~~ fleffl)tJ.k~J 3n J fS ~ 331./ S- ~ __.-Ph0n8# . qe9 W,(;f)/J ApE :r:AYlpfs niJ L/':;;~~ ZIp . App\1cI.nf.I*:;;l' . ~ Sf 'TATEOF1NDIAN~\ , ClIUnlyof ~} . 8efore m., the .....IId,. NotaryPubllr: for W-t<-I~,J:gul\t)'," oflnclljl.M, jllII'llOMIIY appeanad .rJ~. 13aUth; X -~ged" UICIItIon ofOleftlrllgOfllg ...........mthle_..!:::_or fJt;..:J .20~. ' ~r~;WJ;3 ~...1I~~,*,,*~ :l.d2 MAR-27~~-~ F'l'l~ lB'IlIafW1 IO."",knhhL d~,"olnlon tr\lekl" 11.00AM ID:mckni.ht demolition trucking PllllF'. PAGE: 3 03/27/2006 11:40 FAX 3177768506 HAM CO HEALTH DEPT rv:R-Z4~2lil06 01:35P FRa'1:"",knuht d..,OlHlon 311-78J-::sB77 . ... .... TO; 776ElSIilS 1tJ 003/003 Ple...e r. U'I . . Dua :J-d.7~O-f Date ...... .'. . . S~re: Monk ......~~ (orrapr8lU"t1w) ~Jt~."_. CER11P1CATE OF AUTHORITY UndIIrhl*'h1lhilil ofperfury(JIldl8naGo'" 31 ~t ~-1).IIIeI_IIIIIIm. UndrIrD8lh. tttaten afChe I~ J 1IlW8 PNWIdM.lIn... G1pp1101dfon for......... pennIt ill Clue end _,., tv.... Met-mv JrnawIed,ge encI"".lIft~ thIltlltave nat1indw1nA.gr1nllnllom.l1r provIdM or 0III1JtecJ _1nrDnnaikm that WCluId IllInd Co hIdIt, ell......... ....I'WM .....d the D.p......I...nt of Clarmr,\tln,. 8erw1J.II NgardIn9 thelnllh ora.lMIIIt.J8 III'" 11 J ,iheAlln. QS1 U/ hQJj AppIIcanr. Add.... 11'.,....,. ""...IIat. am ..1'1'1.."'_...... .......,11IIII ....,..,epjlDfl.b.d.... 01 lie ~t... 9JqI11a.1IIIIIIonly _1I1R~ fnlIn ...~{., (and anyano WIIh. r~onled I orCllalr ~ In tho ~ to MIte thlll ,....It.nI Bl:tIOl~'" tIMII...... &llndt..u"" fIftd hold.......1hII ~of c.... hm..., cIaf~ ~ ~ orlb,........ WIl~ku8..........aut aft Clr - a I'elUIIt ~ lib ,...... tJt the _0ftII Qf UIe City of V8rmeL. NIPlIdlI18...... , .. .~~. ~ ~~ . - ~(ll.. I /ffA);!, . . IIIcIh De . iii 3n~~~.~ ~Phane ~ru1pf5 TAYJ If':;'as , ~. $T AilE ZIp- _.. STAT! OF INIV.NA .; County of J .F.........~ allGtlByPubUoI'ar ........ "tw.,. StlItaGt,........ pII'/IaIMI/Iy and ft~~rlf...d -1lllBIlUfIcIn IIftllo ~1l8 In8trumenc INS _or . aa___," ifcatv........ , WI ...~ ........ ~'IY --II.~~-.-.,.,.""- h/2 ~~.-eI!Il!6. FRI 1""1MlI'I1 rDl,""lIn.ebL d"lIlOht.ten true....... PRA:.4 MAR-27-2006 MON 11:03AM ID:mckni.ht demolition trucking PAGE: 3 From: 04/05/200607:58 #179 P.D01/00l {A<- (CAIJIt.-!.{6..)'. 75')-)f' 7~ap1 T5 ((>.~."- '- (.v\ fr' p.-- IJ {( fv70'_ouY Roads - Major Roads Minor Roads --'---jl I I 1/ { I 1!1: I ! \ .__-- ____-~_.L----- ------ GJ/ /------- '21- MEDIC","I.-Of< ----- .----~-' . Subdivision Roads New Subdlvlslon Roads Private Road or Drive 1-- Parcels: March 2006 c.-= Buildings o Corporation Boundary Ii!iI Pending Annexation I __ -Lr-'.-. .-- ~P\<:.p.l.-Of< - -~-,.....~-..,.,..-'- --- --_...:.--'-~'~- _.",::-~- --~.~.-_.,:....--:-------.:------ ---- : ..>.....-;...;. .,~~"~~, . "- , ~-- :----- " r- ~ SCALE 1 : 443 N 20 0 20 40 FEET 110 A --- crt S 4/ fo ~{?- J (- oU- 0 0 I _ '0 I r:J/b" DO,? http://216.37.62,701maplcarmetmwf Tuesday, April 04. 2006 4;15 PM APR-5-2006 WED 07:19AM ID:mckni.ht demolition trucking PAGE: 1