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CITY OF CARMEL, INDIANA - DEPARTMENT OF COMMUNITY SERVICES
TEMPORARY USE APPLICATION
TEMPORARY CONSTRUCTION OR SALES FACILITY
DIVISION OF BUILDING AND CODE ENFORCEMENT
INCOMPLETE APPLICATIONS WILL DELAY PERMIT REVIEW.
TEMPORARY USE REGULATIONS AND PERMIT REQUIREMENTS ARE ON BACK OF APPLICATION.
This application is for temporary uses utilized in temporary structures for construction offices, material or supply storage, or
temporary sales facilities. Temporary Construction Facilities are regulated by 925.08 Additional Use Regulations of the
Carmel Zoning Ordinance.
If Each Construction Facility trailer will require a separate application,lf
APPLICANT/COMPANY INFORMATION (PLEASEPRINTOR TYPE) (,J3r) C{?,>'-W.):.(;t ~
APPLICANT NAME Lt., r V"'j' fl'" 111 l:rhJ J h, ' PHONEt,i (Lf J '7 ) !:L L..- v { , L fJ r
COMPANYIBUILDER NAMEW ,{ J () /f>.J L~ J r1 ~./ /1 ~p II (L; 11) .~: t... - ~: ~;
ADDRESS OF COMPANYIBUILDER: ~~J JftVJ_ it . L [;. Tv r!:It If) l=Isfc L~r~ 1.-
PROPERTY OWNER NAME & ADDRESS' f(..,ll~' IJtf't, J t,,1"1!. .
/1} r;t.., W,4 ') /){/(/ R /dJe..WlJr/d/J/"./ flJc-,.J{l{'f\f'N'd.-r.hvlL JJ:l.{3Pfl
"'Should a violation (signage 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 INFORMATION !;i(CONSTRUCTION FACILITY 0 SALES FACILITY
SUBDIVISIONIPROJECT NAME: j 17+ -G MOBILE UNIT CERTIFICATioN II: M -I J'J" 7 '1 ,
ADDRESS OF PROPOSED USE 98' ( /"vdh/~ t t ,e<--lJ( Or ,'vC:j ehrMrA , J;..rtJ, i..ji,O] J..
,
CERTIFICATION AND NOTICE OF INTENT TO COMPLY
IT IS THE RESPONSIBILITY OF THE APPLICANT TO APPLY FOR THE PERMIT EXTENSION PRIOR TO EXPIRATION OF THE
PERMIT. ANY TEMPORARY CONSTRUCTION FACILITY OPERATING WITHOUT A VALID PERMIT SHALL BE CONSIDERED A
CIVIL ZONING VIOLATION SUBJECT TO ENFORCEMENT ACTION BY THE CITY OF CARMEL
TEMPORARY SALES FACILITES WISHING TO OPERATE IN EXCESS OF THE PERMITTED DURATION REQUIRE A VARIANCE
FROM THE BOARD OF ZONING APPEJ\l.S WHICH MAY BE APPLIED FOR IN THE DIVISION OF PlANNING AND ZONING.
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.
OFFICE USE ONLY (DO NOT WRITE IN)
PERMIT 11: 0'7;;'" 'f PARCEL 11:
APPLICATION REVIEWED BY: ~13
FINALClO ISSUED ON: _/_/_ ZONING:
PERMIT FEES:
0$267.00 (Temporary Use Fee)
0$100.00 (Site Inspection Fee)
0$80.00 (Sign Pennit Fee)
TAL FEES DUE: $
DATE _@__J_2_ / '07
THIS TEMPORARY USE prIT WAS ISSUED ON
AND IS VALID FOR J MONTHS, UNTIL
(
Six-month extension granted by
Six-month extension granted by
Six-month extension granted by
on_/_/_,until_/_/_.
on_/_/_,until_/_/_.
on / / ,until / /
ONE ClVlC SQUARE
DEPARTMENT OF COMMUNITY SERVICES
CIn OF CARMEL. INDIANA
(317) 571'2444
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