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\\Apps2\docs shared\Penruts\TEMPORARY ILPs\Fireworks_Special Events Application 2007.doc
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CITY OF CARMEL, INDIANA - DEPARTMENT OF COMMUNITY SERVICES
TEMPORARY USE APPLICATION
,
FIREWORKS SALES OR SPECIAL EVENT
DIVISON OF BUILDING AND CODE SERVICES
INCOMPLETE APPLICATIONS WILL DELAY PERMIT REVIEW.
APPLICANT/ OWNER INFORMATION
NT OR TYPE)
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FAX#: ( )
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COMPANY NAME:
APPLICANT NAME:
ADDRESS OF APPLICANT: ~"
PROPERTY OWNER NAME: ~.
ADDRESS OF OWNER: / Z /2.
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TEMPORARY USE INFORMATION
NAME OF BUSINESS/ORGANIZATION: /t:.
ADDRESS OF TEMPORARY USE: /2. / L 6' .0
DATE(S) OF PROPOSED USE: L -~,;7 b. HOURSOFOPERATION;4?z:o~ 7.3'9-.....
DESCRIPTION OF TEMPORARY USE: ~'1lf>7 );f!&;/d.~!274pdY7?M~ 4~A'c....
~LLTHETEMPORARYUSEBEOUTDOOR~rNO ;'
~ THE TEMPORARY USE REQUIRE A STRUc:rUREl (tent, stand, or mobile)mir~r NO
IF SO, WHAT TYPE OF STRUCTURE AND [NDICATE SIZE:,' ~ 7ff ~
("NOTE MOBIlE UNIT REQUIREMENTS ON BACK") MOB[LE UNIT CERTIFICATION #:
~LL THE TEMPORARY USE UTlLIZE A TEMPORARY S[GNl YES or NO
(" NOTE TEMPORARY S[GN REQU[REMENTS ON BACK")
IF APPLICATION [S FOR FIREWORK SALES:
(PLEASE REFER TO ADDmONAL APPLICATION REQU[REMENTS FOR FIREWORKS SAlES ON BACK)
~LL THE STRUCTURE BE USED FOR THE SALE OF MORE THAN 500 [LBS OF FIREWORKSl YES or NO
DOES THE STRUCTURE ALREADY HAVE A SPRINKLER SYSTEM INSTALLEDl YES or NO
HAS TH[S STRUCTURE PREVIOUSLY BEEN USED FOR THE SALE OF F[REWORKSl YES or NO
CER T[F[CA TION AND NOTICE OF [NTENT TO COMPLY
[ hereby certify that I have the authority to make the foregoing application, that the application and plans filed with the application are
correct, and operation and co duct of the temporary use will conform to the regulations of the Carmel/Clay Zoning Ordinance.
SIgnatureo! Property Owner (llQUlR.ti))
I ture 0 pp cant
OFFICE USE ONLY (DO NOT WRITE IN) _/7
PERMIT#:. (Jj J~vo' I '1 Oro'1yr -LUNING PARCEL#:
APPLICAT[ONREVIEWEDBY: --1<8 DATE:_fjJB/ Dt PERMIT FEES:
REQUIRED INSPECTIONS: .t01. '1/1Q lerr - 'T/a.3/Dtrf<- 1~8.50 (Special Event Fee)
o ELECTRlCAL (BCsi:CE) 0 S[TE (pLANNING) 0 FIRE DEPARTMENT '0$:2l7.50 (Use Permit Fee)
0$104.00 (Site Inspection Fee)
0$83.00 (Sign Permit Fee)
TOTAL FEES DUE: $ / 3> ~ ~ c;- a
Call (317) 571-2444 to schedule Electrical Csi: Site Inspections
Call (317) 571-2600 to schedule Fite Department Inspection
ONE CMC SQUARE
DEPARTMENT OF COMMUNIlY SERVICES
. CITY OF CARMEl., INDlANA
(317) 571-24+1
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