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APPLICATION FOR
DATE: ~/'2.-7 ~..s-
PRIMARy PLAT (OR REPLAT)
Fee: $772.50 plus $103.00 per lot ($257.50 plus $103.00 per lot)
The undersigned agrees that any construction, reconstruction, enlargement, relocation or
alteration of structure, 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
"Zoning Ordinance of Carmel, Indiana - 1980", 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.
Name of APPlicant/l.A-ILt2-:f N. -.r;.IP~ Phone No. ~'7..r=-8/7A
Fax No. ;V ~
I' /)
Address of Applicant: -.//rr:.re ...(u ~~ /L~ p~~- ~T UlbceJ..At ~,~
Name of Owner: ~~V A1 ~~~ c:::..
Name of Subdivision: At ~
~
DOCKET NO. OS I a 6/ t9 3 S-f?,P
Legal Description: (To be typewritten on separate sheet and attached)
Phone No. J""'?r-lY'7~
Area (in acres): /. 2,tJ ~ Number of Lots:
to be dedicated to public use: )II ~
I
/
Length (in miles) of new streets
SUNeyor certifying plat ~6~Lr I?E:r~DN J
/CJ,3o .eA-s, Pt:i. l:H $7"; .-
Address: h~~42~ Z.N' 'T1d$1:r~
~LAA.I~ ~t:> ..c~&VLYI'~ii
Phone No. ~'f?' - tt B 7 '7
****************************************************************************** S TATE 0 FIN DIANA
COUNTY OF /-Il/hllI-rON . , S8: '
The undersigned having been duly sworn, upon oath says that the above information
is tr~\\~. fJ~; as he or. s. he~is inform d ~
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~~~~PFt:JCANY~ rint: ~/L/LV" M, ..j~.t;L..s
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::.:;). OCT ~ 00 * ~ l')/JefI....
j3ULi:Jtribe~t1I1d s~ctn @ before me this <<"1 day of · - 7t. I 20 OS .
... . · 2009 0 ...J .... .
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******************************************************************************
5.1.10 Application for Primary Plat. Two (2) copies, or more if necessary, of the primary plat
and of the construction plans together with supporting documents shall be submitted to the Director of
Current Planning with this application. These laos to be distributed to all Technical Adviso
Committee authorities bV apj)licant.
FEE: Received by:
Z: \s h ared\forms \PC a p pI i ca ti 0 n s \pri m a ryp fa t
01/04/05
APPLICATION FOR SECONDARY PLAT OR (REPLAT}
Fee: $772.50, plus $103.00 ~er lot ($257.50 plus $103.00 per lot}
DATE: 0~/~ ~ DOCKET #
The undersigned agrees that any construction, reconstruction, enlargement, relocation or alteration of structure, or
any change in the use of land or structures requested by this application will comply with, and conform to, all applicable laws
of the State of Indiana, and the Zoning Ordinance of Carmel, Indiana - 1980, adopted under the authority of Acts of 1979,
Public Law 178, Sec. 1, et. seq. General Assembly of the State of Indiana, and all Acts amendatory thereto.
Name of Applicant: ~~~r M. SI'bvP~tL-..s Z/b-Phone # 3/7~~7..r--8/7&,
.J
Address of Applicant: _/JI.f~r; ~t.lrr'~ A, O~. Lc-.! Fax # k ~
C """/Z-".., AI L- ..z;-,y: ,
Name of Owner: D /2.... #~KLAit.-y M, ~ A--~.oE4S.
Name of Subdivision: .Aj~
Legal Description (To be typewritten on separate sheet and attached).
Area (in acres): /,:2..~.3:!- Number of Lots:
/
.
Length ;n miles of new streets to be dedicated to public use:
~
~
Surveyor certifying plat: Rd:>H4LT D. .f>J!~d--s.~ I ';:'c..~~.$ LA,..,r.i:> .s:-URV.cY/.-v'R
Surveyor's address and phone #/&'/?-t!) 4, 96 Zt!L ~ ~A/;IJ. Zl W~f?," dff..~e7.
~~~ure of Applicant: ~ e>/L_ - _ (Print) /~AU2'y A.A. ~4"NO~~
***********************************************************************************
STATE OF INDIAN~
J 55:
coun~\~II~11 'tl>1J ,
~,\'\ .)0 A^'N~~ w1 .
~~~~~~igned, a Notary Public for If l(jtl~ County, St e of India/J.a!. eersonal/y appeared and
~c~le~~~rt\~tion of the foregoing instrument this_ 91~day of lJe/' 20 () S- .
iO~! ~~.,. $: E
= .. ~l1II;'"r 01*--
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~f~~~~~s: . /0 ~/l1--D9 .
1118'1Ulf\~PPlication for Secondary Plat: Two (2) copies, or more if necessary, of the secondary plat and the
construction plans, together with supporting documents, shall be submitted to the Building Commissioner with this application
and the application fee as indicated in Section 29.6 of the Zoning Ordinance.
Additional plans to be distributed to necessary authorities by applicant.
FEE:
Received By:
Z:\shared\FO RM S\PC App Ii cations - current\Secondary Plat.doc
Revised 01/04/05