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HomeMy WebLinkAboutApplicationDeveloper Information' Company Name' Brenwick Devlopment Co. Address' 12821 E. New Market St. S-200 City: Carmel State: IN Phone #: (317) 574-3400 Fax #: ( ) - Contact Person: George Sweet Title: President Zip' 46032 Engineer/Survey/Architect Information' Company Name: The Schneider Corporation Address' 8901 Otis Avenue City: Indianapolis State: IN Zip: Phone #: (317) 826-7265 Fax #: (317) 826-7200 Contact Person: Michael J. Diamente, P.E. Title: Project Manager 46216 Project Information' Project Name: Village of West Clay Adjoining Road Name: Horseferry Road Nearest Intersection: 0.0 r-iN I-qS I--IE I~W of (miles) Number of Lots: 0 Number of Road Miles: 0 Planning Jurisdiction of Project: Carmel Is this a new project? I~Yes r--lNo Section(s): Broccoli Bills Hamilton County Map Grid: C-17 Bird Cage Walk (road name) Will Storm Sewer Be Regulated? I~Yes r-]No r-]Unknown Township: Clay If no, enter HCHD Project #: - - Type of Review(s) Requested' [~ Determination of Jurisdiction Review: F-I Primary Plat Review: I--q Secondary Plat Review: I--] Construction Plan Review: !-] Small( < 5 Lot) Subdivision Review: (Combined primary and secondary with no new roads) r-'] Variance Review: (This fee not required when variance request is part of another paid review) No Fee $400.00 Each $400.00 x $500.00 x $100.00 Each $100.00 X ~ (# of sections) = (# of sections) = (# of locations) TOTAL FEE = Signature of Applicant: Printed Name and Title' M~chael J D~ame e, P.E., Project Manager Date: 10/30/03 Note' 1. All correspondence regarding this project should reference the HCHD project # (except initial application). 2. Make check or money order payable to the "Hamilton County Treasurer" (cash can not be accepted). 3. Submit fees, application, plans and/or plat to: Hamilton County Highway Department Attn: Transportation Development Engineer 1717 E. Pleasant St. Noblesville, IN 46060 4. All sections of this form must be completely filled out and fee paid for review to be made. FOR OFFICE USE ONLY Check #' Receipt #: Reviewed by: Review Date' Received Date: S:\1238\030\docsXI-Iighway ApplforProjectReview.doc