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C\Docurnents and Settings\Richard Heck\My Documents\Carmelwebsitesruff\Ternporary Use Extension RequesLdoc
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CITY OF CARMEL, INDIANA, DEPARTMENT OF COMMUNITY SERVICES
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TEMPORARY USE EXTENSION REQUEST
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DIVISION OF BUILDING AND CODE ENFORCEMENT
IT IS THE RESPONSIBILITY Of THE APPLICANT TO APPLY fOR THE PERMIT EXTENSION PRIOR TO EXPIRATION Of THE
PERMIT. ANY TEMPORARY USE OPERATING WITHOUT A VALID PERMIT SHALL BE CONSIDERED A CIVIL ZONING
VIOLATION SUBJECT TO ENFORCEMENT ACTION BY THE CITY OF CARMEL.
APPLICANT! COMPANY INFORMATION (PLEASE PRINT OR TYPE)
APPLICANT NAME PHONE# (3f7 )67~-~3Eo'X;<33
COMPANYfBUILDERNAME () +~ ~")~S FAXII/:l,!7 ) ~Y/'7/9~'
ADDRESS OF COMPANYfBUILDER / 5. 0 I rrJ,O (1170 f1 "'is-r (WI L,u ~b}Y
ADDRESS ell)' ST TE ZIP 0
PROPERTY OWNER NAME &:ADDR sfOr mock! hOh7<2 /occdeo f.' ,
, )
"'Should a viqlation . nage or general use) arise during the operation of this temporary use,
the applicant (who must be an individual) will be the individual contacted by the City of Carmel to resolve the violation
TEMPORARY USE PERMIT TYPE (ONLY ONE PERMIT EXTENSION REQUEST PER FORM)
ODEL HOME/TEMPORARY SALES OFFICE S2508,25.16 ,
I
THIS PERMIT TYPE MAY BE EXTENDED FOR INCREMENTS OF SIX (6) MONTHS, BUT MAY NOT EXCEED THIRTY. SIX (36)
MONTHS TOTAL FOR A TEMPORARY USE. (THE EXTENSION FEE IS $77.25 PER EXTENSION.) ,
MODEL. HOME/TEMPORARY SALES OFFICE PERMIT NUMBER: I
D TEMPORARY CONSTRUCTION/SALES FACILITY S2508~~~!17 LJ.o5CrJ~1
THIS PERMIT TYPE MAY BE EXTENDED FOR INCREMENTS (AT THE DEP~~CRETION) OF UP TO EIGHTEEN
(IS) MONTHS. BUT SHALL EXPIRE THIRTY (30) DAYS AFTER THE ISSUANCE OF THE PROJECTS CERTIFICATE OF
OCCUPANCY. (NO EXTENSION FEE)
TEMPORARY CONSTRUCTIONfSALES FACILITY PERMIT NUMBER:
NEW MODEL. HOME BUILDING PERMIT NUMBER:
D SPECIAL EVENT S2523
SPECIAL EVENT PERMITS MAY BE EXTENDED FORAN ADDITIONAL 5.DAYS. (THE EXTENSION FEE IS $77.25.)
SPECIAL EVENT PERMIT NUMBER:
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 ate
correct, and that the operation and conduct of the temporary use ..."iU conform to the regulations of the Carmel Zoning Ordinance.
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OFFICE USE ONLY (DO NOT WRITE IN)
EXTENSION REQUEST REVIEWED BY:
COMMENTS:
t<b
DATE REVIEWED:
L/d.!>f'i>7
EXTENSION FEE: $ g~ 00 -
THIS TEMPORARY USE PERMIT WAS EXTENDED ON _ / _ /_
AND IS VALID FOR MONTHS, UNTIL _ / _ /_"
ONE CIVIC SQUARE
DEPARTMENT OF COMMUNITY SERVICES
CITY OF CARMEL, INDIANA
(317) 571.2444
C\Documents and Settings\Richard Heck\My Documents\Carmelwebsitestuff\Temporary Use Extension Request.doc
CITY OF CARMEL, INDIANA - DEPARTMENT OF COMMUNITY SERVICES
TEMPORARY USE EXTENSION REQUEST
DIVISION OF BUILDING AND CODE ENFORCEMENT
IT IS THE RESPONSIBILITY OF THE APPLICANT TO APPLY FOR THE PERMIT EXTENSION PRIOR TO EXPIRATION OF THE
PERMIT ANY TEMPORARY USE OPERATING WITHOUT A VALID PERMIT SHALL BE CONSIDERED A CIVIL ZONING
VIOLATION SUBJECT TO ENFORCEMENT ACTION BY THE CITY OF CARMEL
APPLICANT / COMPANY INFORMA nON (PLEASE PRINT OR TYPE)
APPLICANT NAME i1" i\1d ~~-"tVJn(JJC PHONE#: (3f7 )676-~3&J)(c;(38
COMPANY/BUILDER NAME J Ij~ ~1JS FAX #!:!1..f7 ) ~:/!/9 ~ ' ,
ADDRESS OF COMPANY/BUILDER 5 0 I rYj,O(JOOrl "iSl ('Wi -I--I{) !fc~
ADORES em' ST E ZIP 0 .
PROPERTY OWNER NAME &ADDR - sfOr r71tXkJ home /occ:deo f-'
, ). .
"'Should a violation . nage or general use) arise during the operation of this temporary use,
the applicant (who must be an individual) will be the individual contacted by the City of Carmel to resolve the violation.
TEMPORARY USE PERMIT TYPE (ONLY ONE PERMIT EXTENSION REQUEST PER FORM)
ODEL HOME/TEMPORARY SALES OFFICE 925.08,25.16
THIS PERMIT TYPE MAY BE EXTENDED FOR INCREMENTS OF SIX (6) MONTHS. BUT MAY NOT EXCEED THIRTY-SIX (36)
MONTHS TOTAL FOR A TEMPORARY USE. (THE EXTENSION FEE IS $77.25 PER EXTENSION.)
MODEL HOMEfTEMPORARY SALES OFFICE PERMIT NUMBER: ,
o TEMPORARY CONSTRUCTION/SALES FACILITY 925.08~--(/~!17 4CJ:5O:J'i-/
THIS PERMIT TYPE MAY BE EXTENDED FOR INCREMENTS (AT THE DEPARTMENTS DISCRETION) OF UP TO EIGHTEEN
(IB) MONTHS, BUT SHAll EXPIRE THIRTY (30) DAYS AFTER THE ISSUANCE OF THE PROJECTS CER TmCA TE OF
OCCUPANCY. (NO EXTENSION FEE)
TEMPORARY CONSTRUCTION/SALES FACILITY PERMIT NUMBER:
NEW MODEL HOME BUILDING PERMIT NUMBER:
o SPECIAL EVENT 925.23
SPECIAL EVENT PERMITS MAY BE EXTENDED FOR AN ADDITIONAL 5-DA YS. (THE EXTENSION FEE IS $77.25.)
SPECIAL EVENT PERMIT NUMBER:
CERTIFICATION AND NonCE 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 that the operation and conduct of the temporary use will conform to the regulations of the Carmel Zoning Ordinance.
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S~ture 0 Bu' er ompany epresentative R U )
OFFICE USE ONLY (DO NOT WRITE IN)
EXTENS10N REQUEST REVIEWED BY:
COMMENTS:
I<~
DATE REVIEWED:
L/;;'~/~7
EXTENSION FEE: $ ~", ~
THIS TEMPORARY USE PERMIT WAS EXTENDED ON _ / _ /_
AND IS VALID FOR MONTHS, UNTIL _! ~!_'
ONE CIVIC SQUARE
DEPARTMENT OF COMMUNITY SERVICES
CITY OF CARM:EL, INDIANA
(317)571-2444
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CITY OF CARMEL & CLAY TOWNSHIP
HAMILTON COUNTY, INDIANA
Division of Building & Code Enforcement
Division of Planning & Zoning
TEMPORARY USE APPLICATION:
MODEL HOMEITEMPORARY SALES OFFICE
..................................................................................................................j..
Return this Application to the Division of Planning & Zoning, Carmel City Hall, Third Floor.
Application for Model HomefTemporary Sales Office may be made concurrently with, but not prior to, the application
for an Improvement Location Permit (ILP). .
SUBDIVISION NAME: ~4'/ "-' I- Jtk..'1-- C/~ ~ 7~74
ADDRESS of proposed Model Home: /;1/3'1 AJV...I.i....J.-.. Sr.
BUILDING PERMIT No.:
BUILDER: 4/lb #_/!;J
Telephone No,: 13'7) S 7 .s.;z.3.s~
E-Mail Address: iJ...dL. . k""Ir:-/... If Jl"v/J.e.. c.....
y! ~.// ~ :7 .,.e~/I S~_
;PLlCA.NT (Slgnat e) (Print)
Company:
Telephone No.:
E-Mail Address:
LOT No.: 7 S
Address: //S'fP AI. ,?,:1_,...'......
Fax No.: iF'?") .58'1- 779;l.
,f ~ .C7,.j rS:ltfJ
ll-;z y.-~y
DATE
Address:
Fax No.:
I FOR OFFICE USE:I
Approved by: ~ '"
DOCS - Division of Planning & Zoning
Temporary C/O issued on
Date:
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This Temporary Use Permit was issued
Upon written request, the Director may axle d this
Six-month extension granted by
Six-month extension granted by
Six-month extension granted by
Date: --12J::r1 0 of"
Approved by:
DOCS - Dlvl 0
and is valid for eighteen (18) months. until I J 'J. q~ 0 7 .
ermit for increments of six (6) months, but not to exceed ttirly-six onths:
on
,until
, until
. until
on
on
It is the responsibility of the Applicant to make application for extension prior to the expiration ofthe Permll. Any Model Home or
Temporary Sales Office operating without a valid Permit shall be considered a civil zoning violation subject to enforcement action
by the City of Carmel. (OVER)~" () l\ . d.J;..Q.: '7...5 (), 00
r~ ,50
Departme~~~i~~!8l2u~~t~ Services ~ & ~ '3 tf:3, SO
ONE CIVIC SQUARE CARMEL,INDIANA 46032~ l L/ 317/571-2417