HomeMy WebLinkAboutApplication_Signed *This is a PDF version of the application. The official application should be created and submitted via the online
Application Portal: https://cw.carmel.in.gov/PublicAccess/template/Login.aspx*
HEARING OFFICER DEVELOPMENT STANDARDS VARIANCE APPLICATION
FILING FEES: Single Family (Primary Residence) $199.50 for the first variance, plus $116 for each additional section of
the ordinance being varied. All Other$817 for the first variance, plus $404.50 for each additional section of the
ordinance being varied.
DOCKET NO. P2 21223 ' lb1319, -Z39 ZyOVDATE RECEIVED. /O//6/ZOZ3
1) Applicant: £2/a n Azty less.
Address: /Z16'/ -real /O1L
2) Project Name: Bay f e<5 AP Side»°�iat.� Pa91 Phone: 76 - 366-Q8s,�
Engineer/Architect: DVS ti/I I�Jorr'/ s Phone: 317 - 7CO- 91(2-
Attorney: Phone:
Contact Person: Usti/ lt'lorr/c Phone: 317 - 75 926 Z
Email: cirri &a peace wafer pods , corn
ProjectDox Uploader: D US t jr'1 /Mort/S Phone: "
Email:
3) Applicant's Status: (Check the appropriate response)
(a)The applicant's name is on the deed to the property (b)The applicant is the contract
purchaser of the property. (c) Other:
4) If Item 3) (c) is checked, please complete the following:
Owner of the property involved:
Owner's address: Phone:
5) Record of Ownership: Deed Book No./Instrument No.
Page: Purchase date:
6) Common address of the property involved:
Legal Description:
Tax Parcel ID No.:
7) Explanation of requested Development Standards Variance: (State what you want to do and cite the section
number(s) of the Unified Development Ordinance that applies and/or creates the need for this request.)
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8) Reasons supporting why the BZA should grant the Development Standards Variance: (Additionally, complete the
attached question sheet entitled "Findings of Fact-Development Standards Variance").
Re sic/eniitt / joapf a will be enc/oced by a 74enc e
M a. powered pce/ cover.
9) Zoning district classification of property:
Page 10 of 12 File:Hearing Officer Development Standards Variance Handout 2023 Revised:02/03/2023
9a) Overlay Zone of property (if applicable):
10) Size of lot/parcel in question: Q. 277 Acres acres/sq.ft.
11) Present use of property: /des/der► tia I
12) Describe proposed use of property: /e5 enZ is/
13) Is the property: Owner occupied Renter occupied Other
14) Are there any restrictions, laws, covenants, variances, special uses, or appeals filed in connection with this
property that would relate or affect its use for the specific purpose of this application? If yes, give date and docket
number, instrument no., decision rendered and pertinent explanation. Alo
15) Has work for which this application is being filed already started? If answer is yes, give details:
Building Permit Number: Ala
Builder:
16) If proposed appeal is granted, when will the work commence?
NoveY ber - December. 20Z3
17) If the proposed variance is granted, who will operate and/or use the proposed improvement for which this
application has been filed?
The gay less Frni/y (Evan and Abi j ;/ Rayless)
NOTE: Three modes of public notice are required.
LEGAL NOTICE shall be published in the NEWSPAPER according to the Chart on page 5 MANDATORY 20
days prior to the public hearing date. The certified "Proof of Publication" affidavit for the newspaper must be available for
inspection by the night of the hearing.
LEGAL NOTICE to all adjoining and abutting property owners is also MANDATORY; two methods of notice are
recommended:
1) FIRST CLASS MAIL with CERTIFICATE OF MAILING sent to adjoining property owners. (The white receipt
should be stamped by the Post Office at least 20 days prior to the public hearing date), OR
2) HAND DELIVERED to adjoining and abutting property owners (A receipt signed by the adjoining and abutting
property owner acknowledging the 20 day prior notice should be kept for verification that the notice was completed)
LEGAL NOTICE via a Notice of Public Hearing SIGN posted on the property is also required; see page 8.
THE BURDEN OF PROOF FOR ALL NOTICES IS THE RESPONSIBILITY OF THE APPLICANT.
The applicant understands that docket numbers will not be assigned until all supporting information has been submitted to
the Department of Community Services.
Applicant Signature: �� 4 Date: /D /6 23
The applicant certifies by signing this application that he/she has been advised that all representations of the
Dept. of Community Services are advisory only and that the applicant should rely on appropriate Unified
Development Ordinance standards and/or the legal advice of his/her attorney.
Page 11 of 12 File: Hearing Officer Development Standards Variance Handout 2023 Revised:02/03/2023
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. I, the undersigned, authorize the applicant to act on my behalf with regard
to this application and subsequent hearings and testimony.
Signed Name: Cam,
(Pro y Owner,Bit rn , or Power of Attorney)
Printed Name: �iQri 51ley$
STATE OF INDIANA
SS:
County of /4,-fl C Zia/ Before me the undersigned, a Notary Public
(County in which notarization takes place)
for ,m%/¢Qn County, State of Indiana, personally appeared
(Notary Public's county of residence)
Evan 5a /ess and acknowledge the execution of the foregoing instrument
(Property Owner,/ Attorney, dr Power of Attorney)
this l(p day of Octob.er , 20 Z 3
Notary Public--Signature
(SEAL)
Notary Public—Printed Name
My commission expires:
Page 12 of 12