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DOCKET NO.
TAC
DA TE RECEIVED:
~a~
TECHNICAL ADVISORY COMMITTSIE tlfOv _:-; fD t=;'
APPLICATION & PROCEDURESt ' 2006 p.'
Fee: $267 .00 '\~ DOCS / .
~,
Property Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . "':!;}:l~'~;Y
ParceIID*: 17-09-29-00-00-012.001 Area (acres): 1. 22 ~
Property Address: AIlProx at southwest corner of 131st and Towne Road
Zoning District: P U D Overlay District (If applicable): Nt A
Legal Description: To be typewritten separately
, Please attach a separate list for projects with multiple parcels.
For Department Use Only
Attorney Information
Name: N/ A
Address:
Phone:
Email Address
.." .... .......... .......... ............,............... ........................ ........ IlIII
Fax:
Engineer /nform._c,tion . ,. . . , . . . . . . . . . . ,. . . . . . .. .. ill I- I- I- I- . I- I- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,. . I- . I- I- . . . . ,. . . I- III I- . . . I- . . I-
Name: American Consulting, Inc.
Address: 7260 Shadel and Stati on,
317-547-5580
Email Address:mjett@amercons.com &
Indianapolis. IN 46256
Fax: 317 -543-0270
cforgey@amercons.com
Phone:
Owner Information I- . I- I- .. . . , .. .. .. .. .. . , .. .. . .. . .. .. . . . . . . II II II II II II II II II . . II, . . . . .. .. .. I- I- I- I- I- I- I- . I- .. . I- .. .. .. I- .. .. .. . .. .. . .. .. .. .. . .. .. . .. . . .. .. II ... II II
Name: G . B. I n d i a n a 2. II C
Address: 600 E. 96th Street, Ste 150, I nd i anaDol is. IN 46240
Phone Day: 317 - 5 7 4 -] 3 33 Evening:
Email Address:
Project D.escription II. II II II . II II II .. . .. .' . .. I- .. . .. . .. I- . .. . .. .. .. .. .. .. .. .. .. .. . . . . . .. .. .. .. . .. .. .. .. .. .. II . II II ... II II .. . .. .. .. . . .. . .. .. .. .. .. .. .. I- .. . . . .. . .. . . .. ..
Please include a brief summary/history of the project: Con s t r u c t ion 0 fan ew C V S
Pharmacy located in the West Clay Development.
I, hereby swear that I am the owner/contract purchaser of property involved In thiS application and that the foregoing signatures, statements
and answers herein contained and the information herewith submitted are in all respects true and correct to the best of my knowledge and
belief I, the undersigned, authorize the applicant to act on my behalf with regard to this application and subsequent hearings and testimony
Signature of owner;~~' v-tJ. - Date: I { /J I () ( 0
-n ~ II
(Printed Name) (l1"DI.AAll~ E. KOFl"CLo/j c
1 of 2
S\FORMS\PC Applications - current\TAC only 2006.dac revised: 01/06/2006
AMERICA~ CONSUL}\ING, INC.
Carmel Department of
Community Services
One Civic Square
Carmel, IN 46032
Date:
Project Name:
Project Number:
11/2/06
7260 Shadeland Station, Indianapolis, IN 46256
(317) 547-5580 FAX: (317) 543-0270
info c/!'amercons.com
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RECEIVED
NOV - 3 2008
DOCS
Architects
Consultants
Engineers
LETTER OF TRANSMITTAL
To:
sending you:
[gJ Enclosed
D Separately
D Mail 0 As Requested
via 0 Messenger D For Your Information
D Overnight D For Your Review & Comment
D D
We are
Deliver by
Time:
Date:
QTY. TYPE DESCRIPTION
1 Original Application for Technical Advisory Committee
2 Copies Construction Documents with location map and legal description
2 Copies Building Elevations
1 Copy Transmittal to TAC memebers
Remarks:
The attached application is for your review and approval. Please let me know if there are any other items you might need.
Thank you for your consideration.
Please return: D Copies to this office
Copies of:
Trans:
Enclosure: To:
Very truly yours
American Consulting, Inc.
By: Michael B. Jet!