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HomeMy WebLinkAboutApplication TAC*This is a PDF version of the application. The official application should be filled out online at the link below or at https:llcw. carmeL in.govIPubl icAccess/template/Login. aspx?Return Url=%2ftemplate%2fHome. aspx DOCKET NO. TAC DATE RECEIVED: TECHNICAL ADVISORY COMMITTEE APPLICATION & PROCEDURES ^FEE: (Due after docket no. assignment) $389.00 Property Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tax Parcel ID*. 17-09-29-00-20-002.00 2 98 Area (acres): Property Address: 2425 Harleston Street Zoning District: PUD Overlay District (If applicable): Legal Description: (To be typewritten separately.) * Please attach a separate list for projects with multiple parcels. Contact Information ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ` Name: Brent Benge Address: 5253 W. 16th Street, Speedway, IN 46224 Phone: Email. Email. bbenge@kennmar.com Engineer Information • • ' • • • • • • ' ' ' ' ' • • • • • • • • • • • • • • ' ' ' ' ' ' ' • • • • • Name: Dillon Reynolds Address: 3850 Priority Way South Drive, Suite 110, Indianapolis, IN 46240 Phone- 317-779-2194 Email Address: dreynolds@spacecoinc.com Eplan Review Contact Person: Dillon Reynolds Phone: Email: Owner Information ........................................ . . . , .r Brenwick TND Communities LLC Address: 1905 S New Market St, Suite 140, Carmel, IN 46032 Phone Day: �� • i 5 "� - t "ZJ Evening: Email Address: -N M �% Project Description ' ' • • • • • • ' ' ' ' ' ' • • • • • • • • • • • • • • • • . . ' ' ' . ' • • • • • • Please include a brief summary/history of the project: Construction of a 21 k SF Ace Hardware and parking lot 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. 1, the undersigned, authorize the applicant to act on my behalf with regard to this application and subsequent hearings and testimony. Signature of Owner: Page 1 of 2 M j) Q.om -J ; k cS L.& C. Advisory Committee Application 2022 Revised: 5/12/2022 .IC'A—