HomeMy WebLinkAbout06060041 Application
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TEMPORARY USE APPLICATION
FIREWORKS SALES OR SPECIAL EVENT
DMSON OF BUnDING AND CODE ENFORCEMENT
INCOMPLETE APPLICATIONS WILL DELAY PERMIT REVIEW.
APPUCANT/OWNERINFORMAnON (PLEASE PRINT OR TYPE).
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C~~RW JE.veLi5fSPHONE#: ~'l) o~~71tJcJ
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RES5 CITY STA.TE mcoDS
PROP!lJ'I.{~: / A . . 1 ~/'2 i
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TEMPORARY USE INFORMATION 0 FIREWORKS SALES . SPEOALEVENT I
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ADDRESS~1~.#EL ZJ,{7y~
DA~Sl OF PROPOSEJ? )iSE: -
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DESCRIPTION OF TEMPORARY USE:
WILL THE TEMPORARY USE BE OU'lDOORS? ~ NO .
WILL THE TEMPORARY USE REQUIRE A STRU ? (tent, stand, or mobile unil)@r NO
IFSO,~~FSf:!~~AND INDlCATESlZE:
("NOTE MOBILE UNJT REQUIREMENTS ON BACK*) MOBILE UNIT ~ICA TION #:
WILL TIfE TEMPORARY USE UTILIZE A TEMPORARY SIGN? YES o~
(" NOTE TEMPORARY SIGN REQUIRIlMBNTS ON BACK")
IF APPLICATION IS FOR FIREWORK SALES-
(PUIASE REFER TO ADDmONAL APPLICATION REQUIREMENTS FOR FIREWORKS SALES ONBACI<)
. . WILL TIfE STRUCTlJRE BE USED FOR THE SALE OF MORE mAN 500 ILBSOF FIREWORKS? YES o@
DOES TIfE STRUCTlJRE ALREADY HAVE A SPRINKLER SYSTEM INSTALLED? YES orQi.g:z
HAS THIS STRUCfURE PREVIOUSLY BEEN USED FOR THE SALE OF FIREWORKS? YES o@
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OFFICE USE ONLY (DO NOT WRITE IN)
PERMIT#: O(.Q. ()((l (JoW
APPLICATION REVIEWED BY: 1<=.B
REQUIRED INSPECTIONS:
o ELECTRICAL (B&:CE) 0 SITE (PLANNING) ~ FIRE DEPARTMENT .
Call (317) 571-2444 to schedule Electrical &: Site Inspections
Call (317) 571'2600 to schedule Fire Department Inspecnon
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ZONING:
DATE: f)u I fa S-I I? lP
PARCEL#:
PERMIT FEES:
I li].50 ,
~2S7,S9;'U~ Pemut Fee)
D~(s;te ~pection Fee)
D$~ ~ermit Fe~), .. _,.~
:r0TAL~FE DUE: $t I 3 3.?'~
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17 05 .
Jun
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844-8075
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