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HomeMy WebLinkAbout06060167 Application JUN-20'-2005 MON 04: 12 PM FAX NO. P. 02 S:IPclTlli",ITEMPORARY ILPsIF1rework._Sp<<iol 1',,,,,,, Appliconon,d.,J CITY OF CARMEL, iNDIANA. DEPARTMENT OF COMMUNITY SERVICES I \ ' \ ". > / / '....!~~l~~J./ I I I COMPANY NAME: eO('>ne...C'('),'p~~ &<~'\''''''''O-h\le.~&-NE#: ~~_, 1"1{ 9: APPLICANT NAME: NAN! 1}.1.<.+1) (L - tCl. mel ~ ~: (317) ?l44- 3973 ohol1e... ADDRESS OF APPLICANT: /"10", medIc",",) /Jr, LH""e/ -=>1/ ~i~/~: PROPERTYOWNERNAME~/.....( ~ ~ ::ONEiI (Jr'~";" '9~S_::>;;1:: Icell ADDRESS OF OWNER: /-::'::., .4?r..b./ p:;. t::;,,,,:"/ ' fa- "'/bl9? i ~...o.u.oo, ' CiTY STATE ~j'p~ TEMPORARY USE INFORMA nON 0 FIREWORKS SALES )( SPECIAL EVENT! NAME OF BUSINESS/ORGANlZA nON: C "'- r "" e / !t/ A P II ADDRESS OF TEMPORARY USE: /1/ /1')u[c",-1 /Jr: Cc,r,..",I, riV '?6P3~ i DATE(S) OF PROPOSED USE: C; - ;)!:f - 0 J:> HOURS OF OPERATION: ?<, A~ - 51~~ , DESCRIPTION OF TEMPORARY USE: WILL THE TEMPORARY USE BEOl1UJOORS?~ NO ~ WILL THE TEMPORARY USE REQUIRE A STR~E? ~stand, or obileu~ S or NO IF SO, WHAT TYPE OF STRUcruREAND INDICATE SIZI!:-"" 72'" L-, ' 0 " ('NOTE MOBILE UNIT REQUIREMENTS ON BACK') MOBILE UNIT ~[FlCA TION #: V (flit>" R. ('A~-r- WIl.l. THE TEMPORARY USE UTILIZE A TEMPORARY SIGN? YES oQl9/ (' NOTE UMPORARY SIGN REQUIREMENTS ON llACK') IF APPLICATION IS FOR FIREWORK SALES: (pLEASE REFER TO ADDITIONAL APpLICATION REQUIREMENTS FOR FIREWORKS SALES ON BACK) WILL THE SIRUcruRE BE USED fOll. ThE SALE Of MORE THAN 500 ILIlS Or FlREW9Jl.I<il? YES o@ DOES THE STRUCTURE ALREADY HAVE A SPRINKLER SYSTEM INSTALLEDl YES ~ HAS THIS SIR UCTURE PREVIOUSLY BEEN USED FOR THE SALE OF FIREWORKS? YES or @) TEMPORARY USE APPLICATION FIREWORKS SALES OR SPECIAL EVENT DIVrSON OF BUILDING ANP CODE ENFORCEMENT INCOMP!.ETE APPUCA TrONS WIll DEIA Y PERMIT REVIEW. APPLICANTI OWNER INFORMA nON (PLEASE PRINT OR TYPE) CERTIFICATION AND NOTICE OF INTENT TO COMPLY that I have the authority ro make the foregoing .pplication, that the .pplicatio t t the: opeJ'l\tion and. conduct of the te.m.porary use will conform to the rc ons of ,~ filed with the .ppUcatlon are I' C=IICI.y Zoning Qrdin;mc" OFFICE USE ONLY (DO NOT WRITE IN) PERMlTt#:.J9lQ.Oc;, (')((p.:L_ _ APPLICATION REVIEwED BY: f:: 8 REQUIRED INSPECTIONS: Cl ELECTRICAL (B&:CE) Cl SlTE (PLANNING) ZONING: , PARCEL II: /t.R IIJ~J tJ~ (f)/)()3t')"O~ DATE: III ~ I ,1.1-(1 ()(o PERMIT FEES; I ___ I 10$257,50 (Use Permit Fcc) I M FIRE DEPARTMENT 'D$96,25 (Site inspection Fee) 11 r"'- D$77.25 (Sign Permit Fee) I _ -r Call (317) 571-2444 to schedule EleCtrical &: 51te Inspections lILt I H.5"b -1 P,rc::I",.... ,;:<Ie.N I Call (317) 'm-2600 to oehedule Fire !lepiU'tlnent Inspection TOTAL FEES DUE: $ I 3!:> .50 ONE CIVIC SQUARE DEPAltTMl!NT OF COMMU~VlY CITYOFCARMEl.'INP~~~~ I" I - " - -- r--J It; . I~ ~ I,...., 'ill .~ '? , h c ~ 'I: ~ ~ c c ~ ~ I'$. - ~ , .,. I ~ ~ I f,..- I ! I I 1 I I " I , I - I I