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HomeMy WebLinkAboutIndiana Insurance 000106 �, _ Y� � , . c � �SIGN COPl' .� K.�IOYI G�- ��-�'�'��� SIGN ADDRESS ��u � �C.[� -. -: --.- C.=�R�1�iEI./CL:�Y TO�VNSHIP, HAIYIILTON COGiYTY, INDIAN�+ ''��'-`�'-�;'�:":":`.' SIGN PERMIT �PPLICATION �'��'1 �� "�:'�'• DATE REC��-VED: . �'-a v�`�cz PERMIT NUMBER �-' —D� NAME OF BUSINESS ��`\.��� ^��,��1(le P� PHOIVE: .�DDRESS: �� � `-'l�� � CITY: .T ^ �7 STATFS� ZIP: "��� PROPERTY OWNER �i(��CC `�l� • PHONE: ' ADDRESS; �Y � l'� � CITY: �E.�� STATE: ►`!�� ZIP: d �� ZO�TIPIG DISTRICT: OVERL.�1Y ZONE: 31 " 421 431 OLD TOWN: YES NO�_ REQLTLRED`APPROV�LS'. PIan Commission Dockec� BZA Doc!cet.� DOCS Only IS �1V IMPROVENIENI'LOCATION PER1�fIT REQUIRED FOR THIS BUILDI��1G%TENANT SPACE? IF YES, ST�TE PER�fIT WIvIBER ISSUED SIGN TYPE-circle or.�: WALL GROUND ROOF PROJECTING SUSPENDED PORCH WINDOW OTHER NQ. OF SIDES�_ SIGY STATUS-circle appropriate.response(s): NEW EXISTING TEMPORARY / I � " /� r� � // OVERrtL.L SIGN HEIGHT FROM GROUND: `� (y FT. OVERALL SIGN DIIvIENSIONS: � FT. x � � FI'. 'TOTaL SIGN ARE.A: Requested � �.���:¢' SQ. FT. Pe:missible _ SQ. ;T. COLORS: I��C(� -?I�C{e ' BUII..DING OR TENANT SPACE FRONTAGE DIMENSION: ��-C'� FT. BU�II..DING TYPE: I��'T L �•��- SETBACK OF SIGN FROM iVEAREST RIGHT-0E-WAY: '� � FT. LOGO DIMENSIONS: , LOGO IS PERCE:VT OF ALI.OW,��tCE SIGN ARE.� �1RE THERE Ai�1Y EXISTIVG SIG�tS ON THIS SITE? IF YES, EXPLr1IN SHOPPING CENTER OR COhfPLEY N.��IE: � �. C��C� �[v�' �/ I CERTIFY THAT A PICTURE OF THIS SIGN WILL BE SUBMITTE TO THE DEPART�IENT OF COMi�fU�ITY" SERVICES �L'ITHIN ONE (1) WEEK �FTER ERECTION OF THE SIGN. -OR- 1�VOUL,D PREFER A �35.00 INSPECTION FEE BE.aDDED TO THE COST OF THIS PER'�IIT TO COVER TI-�COST OF THE ST�FF OF THE DEPARTi�1E�1'I' OF CO�MtIy�TY SERViCES T?�KING THIS PICTURE. TWO COPIES OF THE FOLLOWI�IG DOCU�tENT�TION ARE REQUIRED FOR THE REVIEW OF THIS SIG\ PERNfIT: '` COMPLETED APPLIC.�TION - * SITE PL.aN ldepicnng all dimensions, secbac4c5 and progosed sign la:anon) � " SIGN ELEV:�TIOVS•{depicung all dimensiors, copy and color) " BCJILDING OR TEN�NI' SPACE ELEVATIOV ldepicnns fronra�e dime:�ions and or000sed sian locauon) � * L4�IDSC�PE PLA�v Required for grour� signs (depictina the pianring, manu�e heigl:�s and caliper� * See �amples Actached SIG'N. PER��IIT f:EES: -PERI�tIT �PPLIC�TIOIY....:.:....:.........5�:00 -SIGN ERECTIO(�1 ........._............_.........SZ0.00 PER SIGN FACE PLUS 51.00 PER SQUARE FOOT OVER 3?SQUARE FEET. -REPLACEMENT OF SIG�t F.aCE I�1 A1V.EXISTL�IG C�+BI�lET .... 525.00 PL:US '�1.00 PER SQUARE FOOT OVER 32 SQUARE FEET � (Condnurd On Paee �1 ,.� - , - Page ? of 2 Carmel/Clay Sign Permit Applicadon . THE UNDERSIGiVED CERTIFIES THAT THE FOREGOING SIGNATURES,STATEMENTS AND ANSWERS HEREIN CONTAINED AND THE IlVFORMATION HEREWITH SUBMITTED ARE IN ALL RESPECTS TItUE AND CORRECT, AND THIS SIGN WILL BE ERECTED AND MAINTAINED IN ACCORDANCE WITH ALL APPLICABLE LAWS OF THE STATE OF INDIANA, AND THE ZONPi IG ORDINANCE OF CA.RMELCI.AY TOWNSHIP, INDIANA AND ALL ACTS AME*FDATORY THERETO, AND SHALL BE ERECTED WITHIN SIX (� MONTHS OF THE DATE OF ISSUANCE OR THIS PERMIT IS MJLL A1�1D.VOID. FURTHER, THE UNDERSIGNED CERTIFIED BY SIGNING THIS APPLICATION THAT ALL REPRESENTATIVES BY THE DEPARTMENT OF COMMUMTY SERVICES ARE ADVISORY. � � PROPERTY OWNER'S SIGNATURE BUSINESS OWNER'S SIGNaTiJRE PROPERTY OWNER'S NAME(PLEASE PRINT) � BUSINESS OWNER'S NAME (PLEASE PRIN'1� SIGiV COMPANY: ��L�e,tY CONTACT PERSON PHONE: ����I / ADDRESS: �� ( � �'l�� 1'� CITY: ���� • ST�TE:�ZIP: �� THE FOLLOWING ITEMS ARE CONCERNS BY STAFF OR PRIOR CC�MMITMENTS THAT MUST BE ADHERED TO AS A CONDITION OF THE ISSUANCE OF THIS PERMIT (PLEASE INITIAL EACH ITEM INDIVIDUALL1�: 1) x 2) x 3) x 4) x � 5) x � SIGN PERMIT APPLICATION S ��r'� � �, � SIGN ERECTIOI�1 - Improvemern Permit S � p� �`�� INSPECTION FEE (Required if photography not provided) S>>.00 OR P oto will be pro� ed TOTAL FEE S (Q J� PERI�IIT ISSUED BY� \ FEE RECEIVED B . � RELEASED STA� : PAID STA�iP: ��1����� �°��-v :f°Q-o �T: �1�.� .��� Su y� :u ' � ^'��:��a� �;�,�K:..,.,.��� �3 � � ��a����at�r„,,:� ,,.•5� .. ;>;,, 7 �p "i;i sl"f ��-���.� .;..r,; ..i�; �����::���-_�.:��;��, JAN 0 b 2000 ���el 3 e'��'�' n �'�+��° �P° .�, . 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