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SIGN COPY: DATE RECEIVED: 4 RECEIVED SEP 22 2009 DOCS PERMIT NUMBER: i ca-C V a SIG ADDRESS: l( 0 v) CITY OF CARMEL /CLAY TOWNSHIP, HAMILTON COUNTY, INDIANA SIGN PERMIT APPLICATION 0 goc6Jg4 NAME OF BUSINESS: ADDRESS: REQUIRED APPROVALS: P.C. Docket 0 6 0 Z SIGN STATU NEW SHOPPING CENTER OR COMPLEX NAME: REQUIRED MATERIALS: (Please submit TWO copies of the required materials) COMPLETED APPLICATION SITE PLAN (depicting all dimensions, setbacks and proposed sign location) SIGN ELEVATIONS (depicting all dimensions, copy and color) BUILDING 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 SIGN PERMIT FEES: (Please do NOT submit check until permit has been issued) PERMIT APPLICATION: $88.50 SIGN ERECTION: $35.50 PER SIGN FACE PLUS $1.85 PER SQUARE FOOT REPLACEMENT OF SIGN FACE IN AN EXISTING CABINET: $35.50 PLUS $1.85 PER SQUARE FOOT l C CITY: Improvement Location Permit IVA EXISTING (ERMANEN' TEMPORARY otaertf- PHONE: STATE: f ZIP: PHONE: 5 Q CV J4 of PROPERTY OWNER: Pl IM 7. GI-� Inn t"1 ADDRESS: o f L N' I� SZ A CITY: t toct5 STATE: 1 ZIP: 62-6° ZONING DISTRICT: Po)) OVERLAY ZONE: 31 421 431 Carmel Dr./Rangeline Rd. Old Town: PARCEL ID 1 O q- 3 Q f) f D BZA Docket t../74 SIGN TYPE: WALL GROUND ROOF PROJECTING SUSPENDED PORCH WINDOW BANNER OTHER OVERALL SIGN HEIGHT FROM GROUND: I, FT. OVERALL SIGN DIMENSIONS: -a FT. x `T o FT. TOTAL SIGN AREA: Requested 9 SQ.FT. PERMISSIBLE: 9 SQ.FT. NUMBER OF SIDES: BUILDING OR TENANT SPACE FRONTAGE DIMENSION: �V FT. COLORS: Val r Vl LA) id r SETBACK OF SIGN FROM NEAREST RIGHT -OF -WAY: 11 A FT. BUILDING TYPE: 6E30441 e Vy,i a LOGO DIMENSIONS: n IA FT. x FT. SQ. FT. LOGO PERCENT OF SIGN AREA: 0 1 GI ARE THERE ANY EXISTING SIGNS ON THIS SITE? IF YES, PLEASE EXPLAIN: oth 6/7///e. (Continued On Page 2) Page 2 of 2 City of Carmel/Clay Township, Hamilton County, Indiana Sign Permit Application THE UNDERSIGNED CERTIFIES THAT THE FOREGOING SIGNATURES, STATEMENTS AND ANSWERS HEREIN CONTAINED AND THE INFORMATION HEREWITH 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 OF CARMEL /CLAY TOWNSHIP, INDIANA AND ALL ACTS AMENDATORY THERETO, AND SHALL BE ERECTED WITHIN SIX (6) 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. PROPERTY OWNER'S SIGNATURE BUSINESS OWNER'S SIGNATURE PROPERTY OWNER'S NAME (please print) BUSINESS OWNER'S NAME (please print) SIGN COMPANY: V l i U �Q. I 4C/I C i 1 V 1 c( 1 C O N T A C 1 PERSON: 1 1 1 I C U'e� ADDRESS: Z-3(-) \/1J 0 0 CITY: tQ V •'r \A STATE: 1\i' ZIP: 4(.001 EMAIL ADDRESS: 4 m (,Wt V l a I (,/0 (/1 PHONE: 3 (07 2 7 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 I CERTIFY THAT A PICTURE OF THIS SIGN WILL BE SUBMITTED TO THE DEPARTMENT OF COMMUNITY SERVICES WITHIN ONE (1) WEEK AFTER ERECTION OF THE SIGN. -OR- I WOULD PREFER A $119.00 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. SIGN PERMIT APPLICATION SIGN ERECTION INSPECTION FEE (Required if photography not provided) $119.00 OR TOTAL FEE /1 0 (Q 5 PERMIT ISSUED BY: b61761U_ FEE RECEIVED BY: RELEASED STAMP: p p ©V E SEP 2 3 2009 By PAID STAMP: LAYOUT OPTIONS SignFoam, Routed Cut Dimensional Sign Panel -48 in. hor. X 28 in. tall oval -1 in. thick oval, with -1 in. thick 3 -D Logo Letters and Black Border as shown Non Lighted, flat mount to rear wall _Nil Exterior Sip J Ioferior Sigo Neighbor Sign, same criteria i lap (realioo Apparel MO Scree° Vehicle Graphics J Pnotit Digital Offset J 5igo Servile J Illustration _J Disioess (ards J Nod Paioting YYeb Site WO Other 3 -1177 mmceversEgmail.cam Item 2 of 2 FEE ID SIGNINSTAL SQUARE FEET SIGNPERM FLAT RATE TOTAL PERMIT !4ETHOD OF PAYMENT `HECK TOTAL RECEIPT Sec:36 Twp:18 Rng:03 Sub: Blk: Lot: PARCEL ID 1709360000060102 DATE ISSUED 10/29/2009 RECEIPT 31155 REFERENCE ID 09090094 SITE ADDRESS SUBDIVISION CITY IMPACT AREA OWNER 116TH STREET CENTRE IV LLC ADDRESS 9011 MERIDIAN ST N #202 CITY /STATE /ZIP INDIANAPOLIS, IN 46260 RECEIVED FROM ISUSHI CAFE CONTRACTOR LIC COMPANY ADDRESS CITY /STATE /ZIP TELEPHONE UNIT QUANTITY AMOUNT 116TH ST E CARMEL 320.06 320.06 CITY OF CARMEL PERMIT RECEIPT 9.00 1.00 510 AMOUNT PD -TO -DT THIS REC NEW BAL 52.15 0.00 88.50 0.00 140.65 NUMBER 0.00 OPERATOR: cmartin COPY 1 52.15 88.50 0.00 0.00 140.65 0.00