HomeMy WebLinkAbout05020064 Application
OCT-18-2006 WED 10:38 AM 55
FAX NO, 1
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p, 02/04
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S \P~rmlt$\nMPO.1tARy lLP'\.\T&:nl~~l')'lI~e ~X:IHI.~lon Rrqw~: tloc
4~i'o,;;;q~ crn OF CARMEl, INDIANA - DEl'ARTMENT OJ' COMMUNITY SllRVICnS
( o.."!"',,. ( ) = TEMPORARY USE EXTENSION REQUEST
\ / DIVISION OF BUILDlI'G AND CODE ENFORCEMENT
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IT IS THE RESPONSIBILln' OF THE APPllCAlrr 1'0 APPLY FOR THE PERMIT EXTENSION PRIOR TO tXPlRATION OF THE
PERMIT. ANY TEMPORARY USE OPERATtNG WITHOUT A VALID PERMIT SHAll aE CONSIDERED A CIVIL ZONING
V10LATIO;oJ SU8JECTTO .NI~ORCEMENT ACTION 81TH. CITY DE CARMEL.
APPLICANTI COMPANY INFORMATION (PLEASE PRINT OR 1YPE)
APPLICANT NAME: l!L~~~ f;.: ':1 PHONE~: (5/15. 7f' 1: r E'x.I.I)(
COMPANY/llUlLDER NAME: P. Hn([n:c:; / {{', FAX II: (a /1 ) 7 - 9 .
ADDRESS OF eOMPANYIBUILDERH~~J1JJ.eciduil1 &t., ,,-IT 30!) u) 111W15, .J fL ~~lrifO 1
PROPERTYOWNERNAMEIstADDRESS: ,gAmE f\S C.Ofl\~nl(/BlJ/l f)'jP P(pOVt
.
-Should I VlOladon (~gMg"orgen'r;I,lllft) Nile durlng tbtapt:rlldDn arthl& "rnpamyl.l~,
the: ippUt:*an (WM mUll: be o.n 1MivJcWtJ) wiD ~ w !a41vt.duJl CDrotUC~ by welty ot Ca:rmcl to TUelvc the v\alatlm
TEMPORARY USE PERMITlYPE (ONLYONEPl!)u.(rr~NSIONIU!QT.lESTI'EllFORM)
o MODEl HOMEIl1!MPORARY S.' r ""C OFFICE ~25.08, 25.16
Tf/ls PEltMIT TYPE MAY B! olCtiNPllO!'OR INCREMENTS Of SIX (6) MONTHS. BUT MAYNOr EXcm THIP-TY.SIX (36)
MONTHS TOTAl FOltA Tl!MPOltARYUSE. (THE EXTENSION m IS $80.00 PEP. FXTENSJON.)
. MODEL HOMW!'liMPORAIl.Y SALl!S ome!!. PERMIT NuMlI~_
y( TEMPORARY CONSTRUcnON/S;\.1 F~ FACILITY fi2~,08
THIS PERMIT mE MAY BEEXTENllED FOR rNCREMENTS (AT THE DEPAATMENI'S DlSCPJmON) Ol'lJI> TO EIGHTEEN
(18) MONTHS, BUT SHAU. EXPIRE TllIR'lY (10) PAYs APTl!R TIlE ISSUANCE Of TIlE PlI.OJECI'S CEJl.ltFlCATE OF
OCCUPANCY. (NO .x-liN'SION FEE) .
. TEMPOIWl.Y CONSTRtJCTlONISALEB FACIUTY PERMIT NUMllER: 050 'Z.lXXo!.L
NEW MODEL HOME BUILDING P!illMIT NUMBER:
o SPECIAl Evan" fi2S.23
SPECIAL liVl:NT PERMTTB MAY BE EX'l'ENDliD FOR AN ADDInONAL ..DAYS. (tHE EXTENSION FEE IS $80.00.)
SPECLAl EVENT PERMIT NUMllU,
CERTIFICATION AND NOTICE OF INTENT TO COMPLY
I b"'ehy W<iIy dw: I om tOUUI:hOtlIy to mole thdOltpns appl1c>rlon, tb.It thl appUcod.'lIlld pIaN Ilkd with lb. applloal1on are
"',,"'. ond, t U, 'P""~o. ood cOUllu" of the tcltlporuy UIe willconfunn to the . '" 0/ tho c"mlol tonlne OtdlnallC',
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OFFICE USE Om Y (DO NOT Wll.1TE IN)
EXTENSION ItEQUEST REVIEWED BY:
COMMENTS:
feR
DATE REVIEWED:
.LP..../ .;l Q I..'!.Y
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EXTENSION Fl!!!: $
THIS TEMPORARY USE PBRMIT WAi IlXTI!NDEIl ON .J..Q.I ;t~.121z
AND IS VAlJD POR (" f:5 i)<') MONTHS, UNTIL ~ (_AZ.J.Q..:L.
ONE CIvIC SQum
DUAB.'rMINl' or COMMIJNITY snWD
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