HomeMy WebLinkAboutHinshaw Realty, Inc. 780725t o
Rev. 10 -16 -72 PAGE 1 of 2.
SIGN PERMIT APPLICATION
(To be filed in Duplicate)
Date u Li/ /7, /776
(This form combines the Improvement Location Permit Application and the Building Permit)
(Application.
The undersigned agrees that any construction, reconstruction, enlargement, relocation
or alteration of structure, or any change in the use of land or structures requested by
this application will comply with, and conform to all applicable laws of the State of
Indiana, and the "Zoning Ordinance of Carmel, Indiana 1961 adopted under the authority
of Chapter 174 of the Acts of 1947, General Assembly of the State of Indiana, and all
Acts amandatory thereto.
1. NAME OF BUSINESS AND LOCATION ON WHICH SIGN IS TO BE LOCATED:
lfi I Name: /ANSA/A �1
NC. Address N $y6 77
f.tL �b �f}S� �i9
Township: LA/ Legal Description: Lot No. Sfs /YTTAEtfd i]
addition. (attach metes bounds description)
2. LAND USE CONTROLS APPLICABLE TO REAL ESTAM ON WHICH SIGN IS TO BE LOCATED:
Zoning: t Variance required: yes, no
Pertinent variance conditions or parol covenants:
3. APPLICANT:
Name: L A c f Ad X1.5 c+J
Address: ,sa 1 p
Owner of Real Estate on which Sign is to be located:
Name: L o AL /1 ifos./4 LA) Address: a /!o 5,/o,ef4,0i4j/ c
Phone No. <A2)/4- /7
Contractor Erecting Sign:
Name of Firm: Address:
Phone No.
14. SIGN INFORMATION:
Type of Sign: Advertising Business A Incidental
Placement: Ground zie Projecting Pole
Roof Wall
Lighting: Incandescent X Florescent
Dimensions: Single -faced Double -faced n
Permit No.: S' 3 7 _7 8
Phone No
Vertical `7 ft. Horizontal 7 ft. Sq. Ft. of Face 2
Height Above Grade: tp
Number of Existing Signs on Property: Ground Roof Pole Projecting
Wall
LOCATION: '2/ feet from Right -of -way line.
5. ADDITIONAL SIGN PERMIT REQUIREMENTS:
All applications for the combined sign permit shall be accompanied by the following
items:
A. Two copies of a Plot Plan drawn to scale, which shall include:
FEES:
1. Location and dimensions of the affected lot.
2. Location of the right-of-way line or lines of adjoining highways, streets,
alleys, and easements.
3. Existing structures and signs with corresponding size and setbacks.
4. Exact location of sign structure on lot with setbacks from all property
lines and street rights -of -way.
5. Information showing location of any signs and residential structures on
adjoining lots and their distance from the proposed sign.
B. Two copies of detailed structural plans showing an elevation of the proposed sign
with height, width, and depth dimensions, along with mechanical and electrical
specifications of the proposed sign.
6. CERTIFICATION:
I CERTIFY THAT THIS SIGN WILL BE ERECTED AND MAINTAINED IN ACCORDANCE WITH:
1. the statements made on this document and plans filed with application for permits;
2. zoning ordinances of Carmel, Clay Township, Hamilton County.
str /t,/
ner's Signature
(or attach affidavit of agency)
Estimated date of Completion:
Improvement Location Permit
Sign Structure Permit 20. 0 0
Total Fee 35: C 0
Permit Fee Received by 67,6 1'.
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DATE 7`02S' 72
Title
Contractor's Signature
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BUILDING COMMISSIONER
CLAY TOWNSHIP
HAMILTON COUNTY
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LEGAL DESCRIPTION
part of the Northwest quarter
,Section 3 18 North, Range
4 East 1r' Hamilton County, Indiana,
more particularly described as follows:
Beginning at a point 583.5 feet East
and 30.0 feet North of the Southwest
corner of the Northwest quarter of Sec-
tion 30, Township 18 North, Range 4
East, thence North 171.7 feet to an
iron stake, thence East parallel to
theSouth line of the said quarter Sec-
tion 135.0 feet to an icon stake,
thence South 171.7 feet to an iron
stake, thence West 135.0 feet to the
point of beginning and containing 0.53
acres, more or less.
4
CARMEL, IND.
RECEIVED FROM
THE SUM OF
ON ACCOUNT OF
BUILDING COMMISSIONERS OFFICE
FUND
CITY OF CARMEL
RECEIPT
+-AA
•.A. o,;rsu L i.
N° 9842
DOLLARS
EC ft u: BIJICOMG COMMi3SIONEN