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P. 02
APPLICATION FOR SECONDARY PLAT OR fREPLAT)
Fee: $'700.00 or 4$560.00)
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The undersigned agrees that any construction, reconsbuctlon, enlargement, relqcatlon or alteratfon of structure, or.
any change in the use of land or struc:tures requested by this application will coniplv with, and conform to, all appllcabte laws
of the state of Indiana, and the ZonIng OrdlnaJ1O! of Carmel, Indiana - 1980, adopted under the authority of Acts of 1979,
Public Law 178, See. 1, et. seq. General Assembly of the State of Indiana, and aD Acts amendamiy thereto.
Name of AppUcant: If, t!. /'4 ..j S. r1/~~ Phone # 57 (). 7 ~ S- 7
Address of Applicant: 2()1} BV/tlllf/\/(j 7'I(EE ~E~ CH""GL . 1/1/ V~'J"L
Name of OWner. If, e.~.'" So I"f~
Name of SUbdivision: O,tltJk~j st,ct tJ~sJ.
Legal Description (To be typewritten on separate sheet and attached).
JWa (in acres): 0, {, ~ Number of lots: I
Length in mRes af new streets trJ be dedIcated to publfc use:. ,ItJ,/R
.Surveyor certlfving plat: ,vN .}'t1. SeCJI>>#
Surveyor's address a rr 4h$,S ,(J '"
Signature of Applicant~ ',.-.
TITlf:
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STATE OF INDIANA
ss:
Cou~of rrIJ/'/dn
Before me, the undersigned, a Notary Public for (na!, 'on Coun
the execution of the foregoing lnstroment this J 7 T h day af
JOV MANUEL. ~Publtc
Mv Comm\sslOO EJpIreS Jan&mV 8. 2008
ccUffiY 01 Rgs!tience: r;;'lARIO~
My COmmission Expires: I If V /
5.1.10 ApDlicatlon far SecondarY PIq&. Two (2) copies, or more if necessary, of 1M secondary plat and the
mnstrudion plans, together wtth supportfng documents, shall be submitted to the Building Commissioner wittI this appflCation
and the application fee as Indicated in Settlon 29.6 of the Zoning Ordinance.
of Indiana, personally a~red and acIcnowJedge
20 / .
Addltlana'.plans to be distributed to necessary authorfttes by applicant.
. fEE:. ReceiVed By:
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revised 11/712000