HomeMy WebLinkAboutHoff Chiropractic Clinic 810127Rev. 12 /Lia---
APPLICANT
NAME Z.
ADDRESS /717 ,y�.e/nG/✓ 1/J
ADDRESS
Horizontal
Number of Existing Signs on Property (5
CERTIFICATION
wner's S ature
ft. Sq. Ft. of Face 7 D
Estimated Date of Completion /i
FEES: IMPROVEMENT LOCATION PERMIT
SIGN STRUCTURE PERMIT
FOw, CONSTRUCTION
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CLAY TOWNSHIP
HAMILTON COUNTY, IND.
SIGN 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 1980 adopted under the authority of Acts
of 1979, Public Law 178 Sec. 1 et seq, General Assembly of the State of Indiana, and all
Acts amendatory thereto.
Owner of Real Estate on which Sign is to be located:
NAME PHONE NO.
ZONING ,2. LEGAL
SIGN INFORMATION
DIMENSIONS: Height Above Ground Feet from Right -of- Way_ „GP O. Vertical ft.
I CERTIFY THAT THIS SIGN WILL BE ERECTED AND MAINTAINED IN ACCORDANCE WITH ZONING
ORDINANCES OF CARMEL /CLAY TOWNSHIP, HAMILTON COUNTY, AND ERECTED WITHIN SIX (6) MONTHS
OR THIS PERMIT IS NULL AND VOID.
APPLICANT FURTHER CERTIFIES BY SIGNING THIS APPLICATION THAT HE HAS BEEN ADVISED THAT ALL
REPRESENTATIONS OF THE BUILDING COMMISSIONER OR STAFF ARE ADVISORY ONLY AND THAT APPLICANT
SHOULD RELY ON THE LEGAL ADVICE OF HIS ATTORNEY.
Contractor's Signature
P A 1 D JAN2 7 1981
Permit
Date
PHONE NO. f%,r 2 2
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WRITE B4cKGROONO
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G ROUND LEVEL L1GHT1
o° FACED 5 I (7N
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CARMEL. IND.
RECEIVED FROM
THE SUM OF
ON ACCOUNT OF
CITY OF CARMEL
RECEIPT
BUILDING COMMISSIONERS OFFICE
FUND
4
1
N2 12933
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