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HomeMy WebLinkAbout05080262 Application 3177767953 ., =-;"/ ~, ~~~ f6p marketing 02:4655 p,m 08-19-2005 2/2 " AUG-16-2005 TUE 05: 06 PM P. 02 FAX NO. S:\Permlt$\lEMPOlAllf IU'o\Flloworb)lp<<iaJ E...,,, Apphcotior>.doc: CITY OF CAaMEl.,INDIANA . DEPARTMENT OF COMMUNITY SF.RVIC~ [.'1." ,,;::, TEMPORARY USE APPLICATION FIREWORKS SAI.ES OR SPECIAL EVENr DMSON OF BUlLDING AND CODE ENFORCEMENT INCOMPlEfE APPliCATIONS WILL DELAY PERMIT REVIEW .. APPUCANT/OWNER INFORMATION (PLEASE PRINT OR TYPE) COMPANY NAME: r 0__ PHONE iI: (3/7 ) 17(P - ')g,:3 S' APPUCANTNAME: ' _ Y)(:~l.~_ FAXft. (all) 71(P'''lq~,~ . ADDRESSOfAPPlIC).m-: ~~l W-'$"fh'eld NJJlt)v~.'k :f~ 4Jc'2,..t..O PRDPERTYOWNERNAME:.Riv-(rV,'etJ HQS~ -;:: ,pr?NE#: (31i )773-.0")(00 ADDRESSOFOWNER: ~~W<!"6tJ~~loI .. ~~VIrJ.. ~ i~CD~kD TEMPORARY USE INFORMATION C FIREWORKS SALES SPECIAL EVENT NAMEOFBUS1NESs/oRGANlUnON: r '(1 h ~ei..ftt /f{lv"rv..~~L.,) A ( . r ADDREss OF TEMPORARY USE: '5""q~ 5" 4 G-st.YICoJb sf-rP<:: + ... , DATE(S) OF PROPOSED USE: 8/;).<:;, 9- ~a.'8 liOUnOFOPERATION: 1?-d."'-~:-30.k>, ~l"'" DESCRlPTIONOfTEMPORARYUSE: ~ Q:n, h'Ous~ (A//~rrf ~-af; -II,~.m-3,~", WILL THE TEMPORARY USE BE OUTDOORS? ~or NO Q WIll THE TEMPORARY USE REQUIRE A STRUCTURE? (teJJ>.&taI!d. or mobik.J!nlt) \!W<>< NO IF SO, WIiATTYPE OF STRUCTURE AND INDICATE SIZE: ~ >'\t '-fDi< Y,:O _ ("NOTE MOBIlE UNIT REQUIREMENTS ON BACK") MOBILE,)ll:iIT CERTIFlCA nON ft.: WILL THIi TEMPORARY USE UTlUZE A TEMPORARY SIGN? ~or NO (0 NOTE TEMPORARY SIGN REQUIREMENTS ON BACK") IF APPUCA1"lON IS FOR FIREWORK SAl.ES: (pLEASE REFER TO ADDITIONALAPPUCATlON REQUIB.EMENTS fOR Flll.l:WORKS SALES ON BACK) Will THE STRUCTURE BE USED FOR THE SALE OF MORE THAN SOO llBS OF FIREWORKS? YES or NO DOES THE STRUCTURE ALREADY HAVE A SPRlNK.lER SYSltM INSTAllED? YES or NO HAS THIS STRUCTURE PREVIOUSLY BEEN USED FOR THE SALE OF FIREWORKS? YES or NO CERTIFICATION AND NOTJCEOF INTENT TO COMPLY I h<%d>y cenify thar I ba>e W alldlOlity to mol<< t:ht for.goiDg appllcaIion, rho< rhe application ilIld pl....1Ikd wirh che appliomon are , and chac che cpen$n and oondUCf of the C<IlIporary use will c.onfonn to che rogulat:iol1ll of rht Cannel/Clay ZmliJlll Otdinanet, c:;i~pcdy~IRW) OFFICE USE ONLY (00 NOT WRITE IN) PERMIT #: APPLICATION REVIEWED BY: K ~ REQUIRED INSPECTIONS: C ElECTRICAl (B&:CF.) )( SrIT (PLANNING) )i. FIRE DEPARTMENT Call (317) 571-2-4404 CO scbedult Elccuil:aJ.. S:iu: Inapccciolll Call (317) 571.2600 co a:hedule Fin: Depart_In IlIOpcctlcm ZONING:.. PARCELiI!: DATE: 01\ I :l:!:IJ ~ fIDtlT FEES: 1~128,75 (Special Event &c) '0257,50 (UlIC hnnit Fee) ~96.15 (Site Inspection Fee) /J1$77.25 (Si~ Pennlt FeeL ~~~F.i'''.&DJJlE.;l~:r ~~~ ..._..._ ...".....^.~ ...^. n _**._...__.__.. 2/2 035926 pm. 08-19-2005 marketing 3177767953 . ---~ 0}1 ~~,~~ 1,1~1Mi , n 1 E I I .. . ii I!! ~ ) lid. 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V i ~ er(nYJ~ h cr!J of (Q(M<</ :> 7/- :J.l./dio From: 0 Margaret Osborn Marketing/PR Director 317-776-7449 mosborn@riverview.org 0 Sharon Smith Public Relations Coordinator 317-776-7237 ssmith@riverview.org 0 1eri Moncel Communications Specialist 317-776-7235 jmoncel@riverview.org 0 Staci Borst Web Marketing Specialist 317-770-5835 sborst@riverview.org # Pages including cover sheet: J fJ~OCl1"J l<s OU~ ..:J ( Ot-tv -{' \1'(" VI..+s nJJ I -fa Lb;:;.J. Jj <:<<S~ {J. - } (cJ I ~'11 Lvf.e L C rail )t-&u. )'\CI vC' Q II ~ ~w:.sI i"hs (X/l-f Rlvervlew H..plto' 395 Westfield Road Noblesvt1Jr, IN 46060 www.rivervfew.org