HomeMy WebLinkAboutIndiana Easter Seal Society 810721REV. 12/80
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.
APPLICANT
NAME q, 5thA I -5 foR CP/Awe° /dais /we PHONE NO .<j V-7,/ 9
ADDRESS ,30/ S C/�,4?A9AL /.7
Owner of Real Estate on which Sign is to be located:
NAME PHONE NO.
ADDRESS
zgs
ZONING LEGAL
SIGN INFORMATION
1 1
DIMENSIONS: Height Above Ground \O Feet from Right -of -Way 2L 77 Vertical, ft.
Horizontal ft.
Number of Existing Signs on Property
CERTIFICATION
I CERTIFY THAT THIS SIGN WILL B
ORDINANCES OF CARMEL /CLAY TO
OR THIS PERMIT IS NULL AND
Sq. Ft. of Face __5f
APPLICANT FURTHER CERTIFI
REPRESENTATIONS OF THE BtJ±
SHOULD RELY ON THE LEGAL
1111 d
O wner s Signature
��CEE
BY TG1 IJTG 'THI
DING •'GQMME.SS:Tp
H'I'S;' ,:TT
aril JS,SIu.
1f/
■Atra4%',1
Estimated Date of Completion
FEES: IMPROVEMENT LOCATION PERMIT
SIGN STRUCTURE PERMIT
TOTAL FEE
PERMIT FEE RECEIVED BY
c0
SIGN PERMIT APPLICATION
Permit &5 9C7 81
Date 2 -21 -8/
TED AND MAINTAINED IN ACCORDANCE WITH ZONING
ON COUNTY, AND ERECTED WITHIN SIX (6) MONTHS
PLICATION THAT HE HAS BEEN ADVISED THAT ALL
JOR STAFF ARE ADVISORY ONLY AND THAT APPLICANT
EY
/A1/Z G
Contractor's 1 x i5fl FOR CONSTRUCTION
S ettled c to corer fiance (4i ruff e914fatioti%
ade Sfah, C.unty Code,.
BUILDING COMMISSIONER
CLAY TOWNSHIP
HAMILTON COl.m
aggik eZseeloat-