HomeMy WebLinkAbout08010011 Sign Permit ApplicationSIGN COPY
* model
DATES CEIVED:
SIGN ADDRESS
CITY OF CARMEUCLAY TOWNSHIP. HAMILTON COUNTY, INDIANA
PERMIT NUMBER:
NAME OF BUSSINESS Qrcr_ s, 14omcs PHONE: 30 -3Lf -4
ADDRESS: LGLG ?C `F I rYI [r Zoo CTI'Y: Ind STATE: j?j
ZIP:
PROPERTY OWNER bu-m e- PRONE:
ADDRESS:
ZONING DISTRICT: POO OVERLAY ZONE: 31
CITY:
STATE: ZIP:
421 431 OLD TOWN: YES NO
REQUIRED APPROVALS: Plan Commission Docket # B 7A Docket #
I5 AN IMPROVEMENT LOCATION PERh11T REQUIRED FOR THIS BUILDINGITENANT SPACE?
IF YES, STATE PERMIT NUMBER ISSUED
SIGN TYPE-circle one. WALL (GROUND ROOF PROJECTING SUSPENDED PORCH WINDOW
NO. OF SIDES SIGN STATUS-circle appropriate responses . NEW EXISTING PERMANENT
OVERALL SIGN HEIGHT FROM GROUND: FT. OVERALL SIGN DIMENSIONS _ _`FT. x
TOTAL. SIGN AREA: Requested 2 4 SQ_FT. Permissible SQ.FT. COLORS: ?'
BUILDING OR TENANT SPACE FRONTAGE DIMENSION: FT. BUILDING TYPE:
SETBACK OF SIGN FROM NEAREST RIGHT-OF-WAY-
LOGO DIMENSIONS: LOGO IS PERCENT OF
ARE THERE ANY EXISTING SIGNS ON THIS SITE? IF YES, EXPLAIN PC-( (_Yja Oftlt ln)6_1 j S
vjh 1 I_
SHOPPING CENTER OR COMPLEX NAME:
f e_t 0
I CERTIFY THAT A PICTURE OF THIS SIGN WILL BE SUBMITTED TO THE DEPARTMENT OF COMMUNITY
SERVICES WITHIN ONE (I) WEEK AFTER ERECTION OF THE SIGN.
-OR-
I WOULD PREFER A $104.00 INSPECTION FEE BE ADDED TO THE COST OF THIS PERMIT TO COVER THE
COST OF THE STAFF OF THE DEPARTMENT OF COMMUNITY SERVICES TAKING THIS PICTURE.
TWO COPIES OF THE FOLLOWING DOCUMENTATION ARE REQUIRED FOR THE REVIEW OF THIS SIGN
PERMIT:
* COMPLETED APPLICATION
* SITE PLAN (depicting all dimensions, selbacks and proposed sign location)
# SIGN ELEVATIONS (depicting all dimensions, copy and color)
* BUII..DING OR TENANT SPACE ELEVATION (depicting frontage dimensions and proposed sign location)
* LANDSCAPE PLAN: Required for ground signs (depicting the planting, mature heights and caliper)
* See Samples Attached A If nUaJ
SIGN PERMIT FEES:
-PERMIT APPLICATION ........................... $$3.00 j ti4We,f5 Ic bf-
-SIGN ERECTION ................ ..................... .. $33.25 PER SIGN FACE PLUS $1.76 PER SQUARE FOOT p{ C_n +c.GA L"-' `s 5-') 3
-REPLACEMENT OF SIGN FACE IN AN EXISTING CABINET--$33,25 PLUS $1.76 PER SQUARE FOOT
(Continued On Page 2)
SCANNED
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Carmel/Clay Sign
Permit Application.
THE UNDERSIGNED CERTIFIES THAT THE FOREGOING SIGNATURES, STATEMENTS AND ANSWERS HEREIN CONTAINED
AND THE INFORMATION HEREWITII SUBMITTED ARE IN ALL RESPECTS TRUE AND CORRECT, AND THIS SIGN WILL BE
ERECTED AND MAINTAINED IN ACCORDANCE WITH ALL APPLICABLE LAWS OF THE STATE OF INDIANA, AND THE
ZONING ORDINANCE OFCARMELICLAY TOWNSHIP, INDIANA AND ALL ACTS AMENDATORY THERETO, AND SHALL BE
ERECTED WITHIN SIX (b) MONTHS OF THE DATE OF ISSUANCE OR THIS PERMIT IS NULL AND VOID.
FURTHER, THE UNDERSIGNED CERTIFIED BY SIGNING THIS APPLICATION THAT ALL REPRESENTATIVES OF THE
DEPARTMENT OF COMMUNITY SERVICES ARE ADVISORY.
r reeS rr & D e-EES lbk4fs
PR P TY OWNER'S SIGNATURE B 5 S OWNER'S SIGNATURE
ba-tin Car rye.++ o-w(I 7)(k{ X+- t
PROPERTY OWNERS NAME (PLEASE PRINT) BUSINESS OWNER'S NAME (PLEASE PRINT)
SIGN COMPANY: rV G n S i C, S CONTACT PERSON JbdJ WQW FHaNE: " 020Z-
ADDRESS: zbjz E.Tra A ytnGlc CITY: !?d V STATE: I 1'j ZIP: 4u,zQ3
THE FOLLOWING ITEMS ARE CONCERNS BY STAFF OR PRIOR COMMITMENTS THAT MUST BE ADHERED TO AS A
CONDITION OF THE ISSUANCE OF THIS PERMIT (PLEASE INITIAL EACH ITEM INDIVIDUALLY):
1) x
2) x _
3) x
4) x
5) x?
SIGN PERMTr APPLICATION
SIGN ERECTION - Improvement Permit
INSPECTION FEE (Required if photography not provided) $104.00 OR Photo will be provided
TOTAL FEE $
PERMIT ISSUED BY: FEE RECEIVED BY:
RELEASED STAMP:
sA\sig;Aappl
revised 04113M
PAID STAMP:
SCAN N E(
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