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HomeMy WebLinkAboutApplication TACDOCKET NO. TAC DATE RECEIVED: For Department Use Only Property Information TECHNICAL ADVISORY COMMITTEE APPLICATION PROCEDURES ^Fee: $308.00 Tax Parcel ID*: 17- 13- 12 -01 -01 -025 through 029 Area (acres): 1 Property Address: 10505 North College Ave Zoning District: B -1 Overlay District (If applicable): Home Place Legal Description: (To be typewritten separately.) Please attach a separate list for projects with multiple parcels. Attorney Information Name: Address: Phone: Email Address: Engineer Information Name: Patrick C Sheehan, Weihe Engineers, Inc Address: 10505 North College Ave Phone: 317- 846 -6611 Email Address: sheehanp @weihe net Project Description 1 of 2 Filename: TAC only2012, revised: 12/28/2011 Fax: Fax: Owner Information Name: Patrick C. Sheehan, College Building Company, LLC. Address: 10505 North College Avenue Phone Day: 317 846 -6611 Evening: 317 679 -2012 Email Address: sheehanp@weihe.net Please include a brief swnmary/history of the project: A portion of the existing building will be used by Mercy Road Church. No improvements to the property are proposed. Special Use application submitted for church use in B -1 zone. Affidavit: 1, hereby swear that I am the owner /contract purchaser of property involved in this application and that the foregoing signatures, statements and answers herein contained and the information herewith submitted are in all respects true and correct to the best of my knowledge and belief. I, the undersigned, authorize the applicant to act on my behalf with regard to this application and subsequent hearings and testimony. Signature of Owner: (Printed Name) Patrick C Sheehan Date: 07 -10 -2012 10505 North College Avenue, Indianapolis, IN 46280 Legal description Lots 247, 248, 256, 257, 258 in Orin Jessup Land Company's Second Addition to Home Place SJ SJ EXISTING SITE PLAN - NO IMPROVEMENTS PROPOSED w05.0417 SJ