HomeMy WebLinkAbout13040180 Application VS1IySxTY �.',Fe ?)64-015)
# CITY OF CARMEL /'CLA=Y TOWNSHIP Permit #
.m ■•• ,I� TEMPORARY USE'APPLICATION-FIREWORKS-SALES
APPLICANT/ (OAIPANYNAME: PHONE: FAX:
OWNER USA FIREWORKS 317 352 5990 888.308.6376
INFORMATION: APPLICANT NAME
SCOTT COYLE
ADDRESS OF APPLICANT: ,■/ r
10435 E:WASHINGTON ST.INDIANAPOLIS,IN 46229 iY/y/y r p [ I U r T w
PROPERTY OWNER NAME: PH ONEo Ff [ <J I— t I'll
BRERTY O MMMM�a/jy
PROPERTY OWNER ADDRESS: f 1 1 APR I W
22054 Farmington Road Farmington,MI 48336
TEMPORARY NA ME OF BUSINESS/ORGANIZATION
USE BY
INFORMATION: USA FIREWORKS
ADDRESS OFI'EMPORARY USE:
13670 N.Meridian'St.Carmel, IN
DATES OF PROPOSED USE HOURS OF', PERATION:
616-7/6 CCOAM'T�O.PM
W ILL THE STRUCTURE BE USED FORTHE SALE OF MORE THAN 500 LBS OF FIREWORKS? YES
DOES THE STRUCTURE ALREADY HAVE A SPRINKLER SYSTEM^INSTALLED? �' YES NO
HAS THIS STRIJC'1'URI:'PREVIOUSLY BEEN USED'HOR-TIIF.SAT POF FIREWORKS? YES iimplip
Err .. .tt\
CERTIFICATION AND NOTICE OF INTENT TO!COMPLY'
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I hereby certify that I have the authority to make'the foregoing apphcatik,thin the application and plans'filed with the application are
correct,and that the operation and conduct of the temp&ary use will conform to the regulations of the Cannel Zoning Ordinance.Failure
to comply with the terms and conditions of this peermtt may result m a citation and additional fees:FAILURE TO COMPLY WITH
THE TERMS AND CONDITIONS OF THIS PERMIT MAY.RESSULTII4 CITATIONN AND'ADDITIONAL FEES.
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Signature of Applicant/Agent of Builder(REQUIRED) Signature al I'roperty,Owner(REQUIRED)
REQUIRED INSPECTIONS:
ELECTRICAL(B&CE) SITE (PLANNING) PERU DEPARTMENT
TO SCHEDULE ELECTRICAL&SITE INSPECTIONS,'PLEASE:CALL.(317)-571-2444
TO SCHEDULE FIRE DEPARTMENT INSPECTIONS;.PLEASE:CALL,(317)-571-2600
INTERN AL OFF ICE USE ONLY
SPECIAL EVENT
FEE:
SALES FORCES:
USE PERMIT
PARCEL th FEE:
SITE INSPECTION
ZONING: FEE:
APPLICATION REVIEWED BY:
SIGN PERMIT FEE:
TOTAL FEES
DUE: S