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\\Apps2\docs shared\Pennits\TEMPORARY ILPs\Fireworks_Special Events Application 2007.doc
CITY OF CARMEL, INDIANA - DEPARTMENT OF COMMUNITY SERVICES
TEMPORARY USE APPLICATION
FIREWORKS SALES OR SPECIAL EVENT
DIVISON OF BUILDING AND CODE SERVICES
INCOMPLETE APPLICA nONS WILL DELAY PERMIT REVIEW.
APPLICANT/ OWNER INFORMA nON
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COMPANY NAME:
APPLICANT NAME:
ADDRESS OF APPLICANT:
ADDRESS OF OWNER:
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ADDRESS
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o FIREWORKS SALES
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STATE
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PROPERTY OWNER NAME: ~.
TEMPORARY USE INFORMATION
NAME OF BUSINESS/ORGANIZATION: ~/L..
ADDRESS OF TEMPORARY USE: /2/2 5 L/
DATE(S) OF PROPOSED USE: t:::: - 3D - "? -"""b HOURS OF OPERATION@. nJ_.4'<7~ "'39--""'-
DESCRlPTIONOFTEMPORARYUSE &~.s-S ~.q;.,e-...... 07 4..ery?5M-'i: 4.-;,-//pc:...
WIll THETEMPORARYUSEBEOUTDOOR~r NO ('
WIll THE TEMPORARY USE REQUIRE A STRUCTUREl (tent, stand, or mobile Unit~r NO
IF SO, WHAT TYPE OF STRUCTURE AND INDICATE SIZE: Ae!. (/ /2 '""'~-::,
("NOTE MOBILE UNIT REQUIREMENTS ON BACK") MOBILE UNIT CERTIFICATION II:
WILL THE TEMPORARY USE UTILIZE A TEMPORARYSIGNl YES or NO
(" NOTE TEMPORARY SIGN REQUIREMENTS ON BACK")
IF APPLICATION IS FOR FIREWORK SALES:
(PLEASE REFER TO ADDITrONALAPPLICATION REQUIREMENTS FOR FIREWORKS SALES ON BACK)
WILL THE STRUCTURE BE USED FOR THE SALE OF MORE THAN 500 ILBS OF FIREWORKSl YES or NO
DOES THE STRUCTURE ALREADY HAVE A SPRINKLER SYSTEM INSTALLEDl YES or NO
HAS THIS STRUCTURE PREVIOUSLY BEEN USED FOR THE SALE OF FIREWORKSl YES or NO
CERTIFICATION AND NOTICE OF INTENT TO COMPLY
I hereby certify that I have the authority to make the foregoing application, that the application and plans filed with the application are
correct, and t operation and co duct of the temporary use will conform to the regulations of the Carmel/Clay Zoning Ordinance.
SIgnature ot PropercyOwner (REQUIRED)
1 ture 0 pp cant
OFFICE USE ONLY (DO NOT WRITE IN)
PERMIT II: 0'7I"'l~()7'1
APPLICATION REVIE . D BY: (< IS
REQUIRED INSPECTIONS:
o ELECTRICAL (B&:CE) 0 SITE (PLANNING)
ZONING: PARCEL II:
DATE: -IL/ g / co., PERMIT FEES:
1~38.50 (SpecIal Event Fee)
0$277.50 (Use Permit Fee)
0$]04.00 (Site Inspection Fee)
0$83.00 (Sign Permit Fee) i
TOTAL FEES DUE: $ 13> ~ ~ '> a
o FIRE DEPARTMENT
Call (317) 571- 2444 to schedule Electrical &: Site InspecrIons
Call (317) 571- 2600 to schedule FIre Department Inspection
ONE CMC SQUARE
DEPARTMENT OF COMMUNITY SERVICES
cm OF CARMEL. INDIANA
(317) 571.2444
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