HomeMy WebLinkAbout06060125 Application
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OF CARMEL, INDIANA. DEPARTMt!IT OF COMMUNITY SERVICES
TEMPORARY USE PLICATION
FIREWORKS SALES OR SPECIAL EVENT
DIVIS ON OFBUlLDING A D CODE SERVICES
(PL~ASE PRINT
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PHONE#: eP7 )t!;I7~02-'tO
FAX#: (.1/7) <1"17-0L'f'P
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APPLICANTI OWNER INF
COMPANY NAME: f} JL
r"IIIS...
APPLICANT NAME:
ADDRESS OF AP)'LICANT:
:2-10 ~_ 'It,
APPLICATIONS WIlJ. DELA
CITY
STATlI
ZIP CODE
ADDRESS
1.1'
_ AlG. ~IA'
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PHONE #: <,17) flj-sSn
/"" :r,., . 'I &1'-S1J
ADBSS
CITY.
STATE
~CODE
DESCRIPTION OF TEMPO
IJ FIREWORKS
P",fo,I&"'t, e.W:4
E.
. .n...,.. e.. ",,"1:;11
" (.103 - ,/~f
ALEs
SPECIAL EVENT
TEMPORARY USE INFOR
NAME OF BUSINESS/ORG
ADDRESS OF TEMPORARY
DATE(S) OF PROPOSED US
HOURS OF OPERATION: 7-JOA"",-!q:olllPNI
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WILL THE STRUCTURE BE
DOES THE STRUCTURE AL
RASTillS STRUCTURE PR
E OUTDOORS~r N
QUIRE A STR~RE? ten
URE AND INDICATE SIZE:
o
NTS ON BACK') MOBIL
ILIZE A TEMPORARY SIGN!
. BEMENTS ON BACK-)
APPLICATION REQUIREMENTS F
ll!1d.. or mobile Unit€,i)r NO
WILL THE TEMPORARY US
WILL THE TEMPORARY US
IF SO, WHAT TYPE OF STR
-
T CERTIFICATION #:
or NO
ED FOR THE SALE OF MORE T 500 ILBS OF FIREWORKS? YES or NO
ADY HAVE A SPRINKLER SYST M INSTALLED? YES or NO
OUSLY BEEN USED FOR THE S LE OF FIREWORKS? YES or NO
TO COMPLY
I
ihe application and plans filed. with tbe "Pl'licatio~ Ilftl cornel
!the Carmel/Clay Zoning Ordinance.
~
At~
S~tUl'\l'l of P-.:operty Owner (REQUIRED)
~
make the foreg,Qing application, th
U8e will conform to the regulatioM
Signature of Applicant (REQUIRED)
OFFICE USE ONLY (DO NOT
PERMIT #:
TE IN)
S
APPLICATION REVIEWED r~
. JL..'(?; f~ . .. I
REQUIRED INSPECTIONS: '
Cl ELECTRICAL (B&CE) Cl 51 (PLANNING)
ZONING:
PARCEL#:
DATE: -4..J
O(p
PF.RMIT FF.~,
IlSB133.50 (Special Event Fee) ;
.0$267.00 (Use Permit Fee)
ClSIOO.OO (Site Inspection Fee)
0S80.00 (Sign Permit Fee) ~ 0
TOTALFEESDUEIlJ /33,-S
Cl FIRE DEPARTMENT
Call (317) 571-2'" 10 ,theelol. Ele
Call (317) 571-2600 10 ..b.ee1u1o 1'"",. e
8: $Ie In.poctio,,"
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