HomeMy WebLinkAbout07060054 Temporary Use Extention
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FAX NO.
p, 02
l'^i>ps2\do<o oIw<d\P<noltslTEMPO\UJl.Y 1U'.ITempomy (I" ExI...... Req..., 1007,d.oo
cm OF CARMEl.. INDIANA - DEPAll.TMENT OF COMMUNITY Sfll.VlCES
TEMPORARY USE EXTENSION REQUEST
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IT IS TKE RfSPONSllllllTY OF !HE APPUCANT TO APPLY FOR TIl:E PERMIT EXTENSION PRIOR TO WIRATION OF TH!:
PERMIT. ANY TfMPORJJl.Y USE OPERATING WllliOtJT A VALID PiRMlT SHAlL BE CONSIDERED A CMt ZONING
VIOlATION SU8]ECTTO ENFORCEMENT ACTION llY THE cm OF CARMllL.
OlVlsIoN OF BUILDING AND CODE SERVICES
APPLlCANTI COMPANY INFORMATION (PLEASllPRINT OR TYPE)
APPllCANTNAME,lOIl'l WOOD ~lS.r.llrJ.:L<..J(.. PHONU: (~17 ) f<,/! my
COMPANYIBUILDERNAME: SA/116' FAXIll: (On) S1S' '-b3f?
ADDltESSOF COMPANYIBUILDER: ~~ 15 9' ~ ~p'->{l /mJ~ ~~IS .:::;;,<-.1,1'" V"',,2..~~'CUD' I
PROPERTY OWNER NAME &: ADDRESS; S I"J /11 C
.Sbauld I 'vtolation (&lpag~ argmcnl UK) uiac: dliriQg ~e Bpcndon. of thia runpow:y u.sb,
!:he lppl(~nt (who mUSiI: he an indlvtClull) will be tlae1hdtvtdual COlIClctc:c:l by the Cky M ClW'l).tl to mQlv~ t:h~ 'ViaJatlaft.
TEMPORARY USE PERMIT TYPE (ONLY ONEPEJl.MI1" l!XTENSIONJU;:Q1JEST PIIllI'OltM)
t:J MODEL EiOMElrEMPORARY SAr F~ OFFICE ~25.08. 25.16
THIS PJ:RMIT TYPE MAY BE EXl1:NDED FOII.INCRliMBNTS OF SIX (6) MONTHS. BUT MAY NOT EXCnD THIRTY-SIX (6)
MONlliS TOTAL fall A T'EMPORAll.YUSE. (THE EJrniNSION FEE IS $83.00 PEP. EXrcNSION.)
MODEL HOMElTEMPOIlARY SAUlS OFFICE PERMIT NUMBER:
o TEMPORARY CONSTRUCTION/SAtF!; FACIllTY S25.08"
THIs Pl!l\MIT TYPE MAY BE EXTENDliD FOR INCllEMENTS (AT THE DI;PARTMENT'S D1SCll.EI!ON) 01' UPTO EIGHTEEN
(18) MONTHS, BUT SHAlL DXPIR~ TIlIRTY (30) DAYS AFl'Ell. THE ISSUANCE Ol'THE PROJI:CTS CERTIflCATE OF
OCCUPANCY, (NO EXTI!l'lSION fEE)
Tl!MPORARY CONSTRlJCTION/SALfS FACILITY PERMIT NUMBER:
NEW MODEL ltOMIi BUILDING PERMIT NUMBER:
lzI- SPECIAL EVENT ~25.23
SPECIAL EVENT PERMITS MAY Bb J:XIfNOI!O fOR AN ADDmONAL Z-DA 1S. (THE EXTENSION FEE IS $8..00.)
SPEcIAL EVENT PERMIT NUMllER:o 7 () {, 00'- V
CERTIFICATION AND NOTICE OF INTENT TO COMPLY
I hereby cer~lIy <hat I have the authority to =k. th. foregoing applt.atloD. dlJI, the appllcadDllaod pIIIlU liIed...th tbe appUca.IOII ate
<amet, hat r:be <>per_tiOll:md <<lIldu.t a! the tcmporuy... WIll OonfOllD to ,be regWlltIon. o! the Cannel Zonlng Ordina""..
".-r-~...."..
OFFICE USE ONt Y (DO NOT WR.lTE IN)
EXTENSION REQUEST REVlEWED BY; /<( (3
COMMENTS:
DATEll.EVIEWED: ~I a. Ol-Il. 7
EXTENSION FEE: $ ~ ~. D D
I
THIS TEMPORARY-USE PERMIT WAS EXTENDED ON -Db 1.J:22 1..f2:l
AND IS VALID FOR MONTHS, UNTIL_I_I_.
iO/2D ~~~.r.oy~. ~
DEPARTl-!!NT OFCOMMUNllY SERVICES
ONE CJVIC SQUARE CITY OF CAaMl!L, INDIANA (;17) sn.""
~ 'd [691 'ON
~v[[:8 100G 'O~ 'unr