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HomeMy WebLinkAboutArby's Coming Soon 000831 , � AUG=16-2000 35�53 FROM CRRMEL CLAY DOCD - � TO 95735385 P'.02 -
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� Arby'��Coming Soon 9If3NADDRL•SS 1224 S Ran��7� nA p�a�
SIGN 'APY in-.� �
C.4R.*.�ilCLAY TOWNSHIF' HAMII.TON COUNTY LvDiANA
�
� SIG,'�PERMIT APPLICATION �
������� �1 PERIvSIT 1ViJiviBER.
. DAI'E , �� N
/�/
NA. rYrBUStP�SS RT'DOQ$id-America/Arby' � ��� ��--� '^� `�
ADD �SS; 9 3`ls`'1 N__ Me r i�i�� CTTY: T^�.,,� ; � S7ATE: �„�Z.IP: � ���4�
�_I�` PHONE:
PROP `TYOVU*IER �'^ie
ADD %, C�y. . SIATE: 2IP:
ZO � DISTRIC't� �-3 OYERIAY ZaiV�: 31 _._ 421 ! 431_ OLD TOWN: YES '•`Tt3 X
REQ ' APPROVALS: PSan Commissioa Dakcs�Y BZA DacSa2 k �5�Y__X—
IS AN :t�ROVHMENt LCCATFON PF.'R;otIT REQUiRED FOR THIS HUfI.DINGfIP1`iA+`7"C SPACE'�s
g YE , 5TaTE PERti1tT NU:VIDER ISSL'ED
SIGN :YPb-circle oin: WALL GRS7l1NT7 ROOF PR03ECTL'�G SUSPENDED PORCFi q'Ih'90W `".L`.��
1VC. � S7DES 2 S7GN STASilS�utle apperoprasc cespon4e{s): NF.1V �XIIST�TG PERMANENf '�'� r .
p T $IG'�i I HEEGn�I FttOM GROC11h� , S; x (6) '�. O����'�DIMENSIONS: f o u r !1�f. x e i G h t �i'.
Red on
32 White
TO? t SIGN ARE.4. Rcquestcd 3 2 9Q. FT. R�sstble SQ. FT. CQLORS: ._
Single tenant
B G OR TENANT SPACE iRONTAGE DIIviENSION: 9 3 • Z 5 FT. BUII.DIlVG TYFE: �,-,.,, c+�n rl i n c1
�. � � � � � FI'. -
SETS OF SIG��t FROM*i'r11RES"t'RIGHT-0E-W AY: � �, ��+ - J
� lME.HSlt?NS: I�'/A ,I.00'.O IS PEBL'EM OF ALiDWANCE SIQd AR�
M ., None other than several communi.t_
,qgE RE?�NY EXISTING SIGNS ON THIS SITE. 1F YES. EXPLAIN
� J Banners
SHQ ,ING CENfER OR COMPI.EX�1AME: N/A .
1�� I CIItTTFY TfiAT A PICTURF OF'fFIIS SICnY WSLL�E SUSNiE'rfED TO TF� DEPART&�N7'OF COMMUNI'I'1'
SERVICE5 WTTHIN ONE (2) WEEK 4FPER�CTION OF'tHE SICn`i. .
AR- '
I WOULD PREFER A 535.00 INSPEC?'IO1V FEE BE ADDED Ib Tf�CASI QF TfIIS PERMIT TO COVER iS�C06i'
� OF TF�$STArF OF Tf� DEPARTM�-�iT OF COMN�tJNR'7'SER�'I�5 TAK..T`iG TF�S PICTURE-
�
.{�'TW C4PSES �F THE FOLIAWiNG DOCUMEN'I'ATfON �E REQUII2ED FOR TkE REVIEV4i OF "fHIS SIGN
P£R �I'
� ` COMPI.t"Z'ED APPL:GTION
" SITE PS.ADi(depievng aII dunagioas. secbacks and pro�osed si�locariaW
' SIG�I F.TF.YATION.SCdcpu.'an8&1!dimensiois. coFY and ColOf)
` BIIII.DIlVG OR TENAh"C SPACE ELCVAIiON(depicriag$vange dimr�.ons and Proposed sign londo�
r I.�`lDSCAPB PLAP�Ae4�md fvr gro�md si3ns (depic¢ng d�e P�S: �'�B���Pa)�
_ * See Samples Ama�hed
_ 1
SIG PFR��fIT �'EES: - ' //
APPLICA?IO1�....................525.00 j
-SiG ti ERECTION .............................520.OQ PER SIGN FACE PI.LS SI.00 PER SQUARE FOOT QVER 3Z SQUARE FEST �
- � CEMENT OF SiGN FAEE IN.4N EXISTING CABINET....SZ5.00 PLUS S1.00 PER SQi3ARH FOOT OVIIt 3L SQi7AP �
, � 7 �9 e5 t,r�-u.( � ���
� �
,V�
' . RUG-16-2000 15�54 FROM CRRMEL CLAY DOCD TO 95735385 P.03
.e i
Page `f2 •
y Siga
Rimi pplicmoa
'LF� ., ERSIG,�'D CFRT'IFIES THAT TE�FOREGOING SIG�7ATURES.STATEMENTS AND ANSGYERS HEABIId CON'i'AINSF?
AND �II�ORMATION HEREWTfH SGBMTI'fbD ARE IN ALL RESPECTS TRUE AND CORRBCl', AIdD THIS STGN WQ.L BE
g� >gp qTID Iy1,qINI'pIPiED IN ACCURllAiVCE K'ITIi �L1, APPLtG18LE L1W9 OF 7HE STATE OP II�7DiANA, AND THE
7A �fi ORDINANCE OF CARMEL/CIAY TOWNSF�. IND{t1NA AND ALL ACI'S AMENDATORY TF�RETO,'.1ND SHALL Bb
EgE 'ED WI7HIN SIX(� MONTHS OP'tHE DA2E OF LSSUANCE OR THIS PfiRMI'P L5 NUI.I.AND VOID. .
�-R � �EgSIC�v'ED GFg'iIFIED SY SIGNING THIS APPLIGI'tION THAT ALf. REPRESENCATIYES BY THE .
DEP T�NT OF COMML'NiTY SERVICES ARE A��/IS�RY.
RT Mid-America RTM Mid-America
• P P � TY OWNEA'S SICa`7ATUt2E BUSIlr'E55 OWNER'S SIGNATURE
f
By E. Davis Coots , Attorney Byc E. Davis Coots , Attorney
PRO RTY OWNER'S NAME (PLEASE PRINl� BUSIIYESS OWNER'S NA.�tE (PLF,A.SE YRIN'T)
SIGN �OMPAu�1Y: CONTACT PERSON PHONE:
ADD CP['Y: STr1TE>—2iP: -- ._...:.
TF� L1.OWING ITEMS ARE CONCERNS BY STAc'"� OR PRfOR COM.rII'I7.ff:NTS THAT 1f[ISt BE ADE�tBD TO �VS A
CO ON OF TF�ISSUANCB OF TI�IIS PER2STI (PLEASE INTfIAL FA(�H iTEM iNDIVIDUALI.Y):
�� � -
1� z ��+ .
� x �� -
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S) i .
51G, :.�.�IIT.4PPS1UTI41Y 5 �" �� -
SI RECTION -Improvcmern Permic S •a(�' 11+7
`,CTION�E(Req�dTed 1 Phom�aQi�Y rot P�ovide� 535.00 OR PFwm aiil be p[ovided
ro� � s �/5��
� iSSUED BY: Q.1.V1� Ci•� FEE RECEIVEI?BY�
" '� �p PAID STA.�:
�RELF_A,���� FQ� C��9�TRt�p�:TS��� •
SuSject tu com�ti�rce v�;3Ps+:?e: 5;��;^s€e��t�ns -
� C! 3�CS.irvF:cr-9rt,t, l..�.._:,I :.',...t . . .
�IC.{�f �. i�0�%liE�k�k�i�.t�':�; ' ,.,, .� :��, . .
, CtTY Gr t,ARiWI�.I f ��R`r �i"(ivi�ati��-+ii� •
IBdD1ANA ' -
s: " taQQl
m�is ' 10J9?
� AUG-� 2000 15:53 FROM CARMEL CLRY DOCD � � TO 95735385 P.02
r,- Q� -(�C:C.lJ' -
!` .. �:
S�� Ap�,, Arb.y�sSCOmA�g- Soon SIC3NADDIt�SS 1224 S Rann i ' n�- Rea� —
b "'C ' �LCLAY�, OwNSHIP HAhIILTO1v COUNfY IIYD�ANA � �'�O ,
� � Y''� SIGN:PERMIT APfLICATION
v PERMIT 3ViJtv1BER:� �
DA1'E � CENED: --
� k
� HUSII�VESSA� ?d-Ame�ica Ar ' ��' �-s 'n� 8
� �
ADD �SS: 93�N. Meridi. / C�: r � ' -^,^^' ; 51'ATE: �,�7.IP' � ���a�
1+�, `v
PROP TY OwNER�I�-�m,� _ _ PHONE:
i �j=y: . . SfATE: 2`1P:
ADD 65:
ZO �DISTRIGf• R-3 OYF.RI.AY ZOIV�: 31 ..._ 421 � 431� OLD TOWN: YES NC3 X
gEQ ` APPROVAIS::PIan Comro�ssson Dockn!/ BZA Docket R �S�1Y- X .
IS,AN �ROVHMENT.LOC.4TYON PF.RAd1T REQL'Il2ED FOR THIS BUILDING/TEI3ANi SPACE'�e s
]F YE 5'IATE PF.R.K1T NUMBER I5SL`ED
SIGN YPE-cirzte ero: ALL GRt]UNr� ROOF PROJECTIl�IG SUSPENLED PORCH ��W �
i
N0. +,S7DES 2 STGN STANS-ci�le app�opriste re�ds): NF.W EXIS7'IIdG PERMAAtfi'N'1'.. �'��
O STGN I�C�IT FROM GRO'UI1D: , S;x (6) Ff. OVERALL.SIGN DIMENSIONS: f our ''1§'I'.�x.ce i crht E�l`. I
. F..WSw�Red �on
tot. }scc�v nxEa. �enca 3 2 �. F-r. ��tie 3 2 S0. Fr. Coi.o�: .Whl te � ,
Single tenant �
$ G OR TENANT SPACE FFtONTAGE DIIvIENSION: 9 3 . 7'5 .FT. BUILDING TYPE: 1-.•,. c+a,;�7 i n a
SETB ` OF SIGY-FRQM NEAREST 1tIGI3'C-0E-W AY: - - e r ' - � / / / ,' ' FT' _
; 1ME1vS1CJri5: I�'/A >I.O(38 IS PEH�`1T OF ALLDR'ATiCE 9IGN ?4.�t�1
� � REp�NPEXISI'IINGSIGPIS03KTHISSITE°. IFYES, EXPI.�11N None other than several communi"ty
� Bann�rs
SHQ �ING CENTER OR COMPLEX�IAME: N/A
_� I CER7�Y THAT A PIC7URfi O�THIS SIGN R�II-L$8 SUSIvffTTED TO TF3E DEPAR'fMENT OP COMLAU2�f1TX
SERVICES WtTF�N ONE(2) ��1EEK AFTER ERECTION OF THE SIGN.
` -OR .
i WOULD PREFER A S3S.00 TNSPECITON FEE BE ADDED TO'fHE C(?Sf OF THFS PERMIT TO COYER TFiE COSf
OF Tf�STAFF OF TF�DEPARTME?`IT OF COM2dT.JNITY SEAVICES TAKL`iG THIS PTCTIJRE- �
'�
.{�jTW . COPSES OF THE FOLLOWTNG DOCUMENTATION ARE REQUIItED FOR TkE REVIEVIt OF THIS SIGN i
PER ;TT� 7F' I
' ' GOMPLBTEI?nPPL1C?.TION
* siz'E PIarr(depicang an amr«aiam, secbacxs ana proposed si�s lacaaon) � �
• SIG�T F.T F VA'i'iOPi.S(depicrin8 all dimensiois.coPY aud coioi) . I
• BLJILDING Ok TENANT SPACE ELEVAI'ION(depiaing fsv�ge dimensia:s and Proposed sign locadon)
� • LANDSCAPE PI.AN Reqtri�r�d for grounti siBnS(depiai�du P1a�8.���F1���P�)'
_ "` See Sarnples Atra�hed '
i k
SIG RERMIT PEES: - �
- APP[ZCATIOAF.....................S2S.00 _ ,
sIG �EIZEC7TON ...............�...........520.00 PER SIGN FACE PLUS S1.00 PII2 SQUARE�OT CJVER 32 SQUARE PE6T
- � CEMENT OF SZGN FACfi UI r�N EXISTIN('�CABINET....SL5.00 PLUS 51.00 PER 3QLIARE FOOT OVER 32 SQUAI+
° C''f �a,ges fc>�-p-t� ��` � ,
� � ����
�5:���Qt.. ��'LIfP1YYN � .. . .
icv45 10/91
�'FESCRIPEO 9Y�9i.�TE�.BORPO Of PCCOIIHT9 eOV[['rePY!S�sisYa.YVHC�[.`�'
- - - - �- � GENERAL FORY NO.!SE IR[Y.19pJ1
RECEIPT
DEPARTMENT OF COMMUNITY SERVICES
n N°_ 1fl38
�'�� FUND
. ARMEL IN., " �I . V�/
- ONT '�� 'O . ' IVEAfl `
RECEIVED FRO`M, � � �C. S �� � �
T,HE` 8UM OF '� � �o��a, s
ON ACCOUNT OF 5.��5` ' o
, S � � � �, , �� ���
oAVMENi TVPE 8 AMOUNT
CASH CHECK�JM.O. �
'M1U�
E.F.T. G.C.IB.C. OTHER PUTHORIZED 61GNATVfiE
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RUG-1 2000' �15��53 FROM CRRMEL CLRY- DOCD � � TO 95735385 P.02
• _ » � Arb. � q�'.
,i ^ �
SIGN APY X'Cs�r� �;:ng Soon 3[GN:i1DDR�SS 1224 S Rang�i ; „v o.. ��
��°o -•, •�LCI.AY TOWNSHIP HAMILTON COUN'fY LYDIANA
� �� ��������-�N � ���.dO
DATE CEIVEIY, _ •+
� ��:
� � U �
1 '
' ' � NR8 id- ,�ica Ar � PHONE: �0.5 �nig .
. h
N FHU\aS'3 ._ qe�i -� , ` CI$'+1':. .��i a,�a:-,..� ; �. STATE: ��7.�: r��s�v�
ADD SS «.�� v ^
:PROP ,TY^°�*�T� � PHONE:
ADD {fi5:. CITYi . _. SfATE: �"•
ZO �DIS�r'T• �-3 OVERj'-4Y;ZQN£: 31 ..__ 421��431'.= OLD'IOWN: YE5 1vf3 X
RF,Q '' APPR�yALS:P1an'Gaminis�s:onDockeI�! �p'_��'� �g.�Y—�—
IS AN !4IPROVSIviBNT LOCAMON PF.'RMIT'REQLJIRED FOR THI5 8UQ-DING/'PEI3ANi SPACE? Yes
LE'XE ,'StATEPER.yIITNI7MBERISSUED
SIGN ' -cucie or»: AZL GRtJI3Nl� ROOF PROJEC'PING SUSPEN3JE17 PORCFi � �
r �' ��
tVO, tI:SIDES . 2 SIGN STANS�acte appioprisu re;pon�e(s): NF.W EXISt4+TG PERMANENT
O " SRGN HEICd3T FRQIvf GROI7ND: S; x P 6) FT. OVERALL SIGN DIIv1$NSIONS: f o ur 'R1f:x e i ah t E�.
� 1�P,6Red on .
tor ' r sccrrnxEi,. �e 32 SQ_Fr. ��-e�e 32 so. Fr. coz:oRS: . whlte ��.�.
,'' - Single tenant
$ ` G OR TENANT SPACE'FRONTAGE;DIlvIENSiON: 9 3 . Z 5' :FT. BUII.DING TYPE: s -..,. c+a n�i n a
._-
� - � 9 ° �7�` ; �:-
SE'CB [K OF STGDi FROM NFARES'T RIGIif-0E-W P,Y: °�t - ..;
' u�vs�vs: �/� >r.oc,a rs rEa�nvi' oF Ar�cowa.xcE SiGN A�n
i - None other than severai community
,4R�, RE ANY EISISTAVG SICrNS'ON;TfIIS:SII'E? 2f YES,EXPLAIN
Banners
SHQ �ING CENTER OR COMPLEX�IAMEi N/A '
� I.(�RTIF1'1'HAT A PICTiJRfi OFTHIS SIGN WIL.LBE`SUSNfiTTED TO THE DEPAR'fMEN'f C7P COMA4S]t!F1T1'
SERVICES WITHIN ONE(i),WE�K.A:FTER ERECTION OF Tf�,>SIGN.
AR-'
I WOULD PREFEit^A S35.00 INSPECI'IO1V FEE BE ADDED TO THE CASI'OF.TFIIS PERMIT TO COYER TY�C06f
Of TF�`STAFF OF Tf� DEYARTME?v'L OF COMN3UNITY SER�'ICES TAKTayG'fFIIS PTGTtJRE.
� ` . ..
-{yTW 'COP2E5,OF'THE FOLIAWING DOCUMENTATION ARE°REQUIltBD FOR Tf3E REVIEA�i OF THIS STGN
`PFR I'T> '1�"
� '' C�MPIETEB APPLICA?`fON
• SITE-PLAN(depictinS a0 d�ensiom, sextixks and groposed'si�iccadaql
,
+ SIGN F.TFVATIt�PiS.(depu.'�in8 alt-dtmeniiots.�coPY ai�d'9o1oI)
` :BUII:DINCs OR TENANT SPACE'ELEVA?ION,(depiaisig fm�age-dimemians and,Propos�d sign lacariox� .
' LANDSCP�PS PLAN:AeqtriRd'fgr;gco�d.riSas(depicanS the plx�g.�aaue�ixighte at�d cal+Pa)'
*See Satnples,A�l�ed '
� i
SIG PERwIIT F'EES: _ �
STG E E.PPLICATIOIW.. ..... .. :.:S73 0�
- � RBClTON..... .. . . �. ...:52Q.00 PER SIGN FACE PI.US S1.00:PER'SQUARE'F'OOT flVER 32 SQiJARE F£5T
V CEMENT OF SIGi i`FAC"E TN A1v 6XISIYNG CABINET'....525.00':FLU5 S1.00 PII2 SQZSARb FOdf OVFR 32 SQUAF'
� 'j �,9es f'�-�a.( � «�
^ � �-�.
� RUG-16=2000 '15�54 FROM CFlRMEL. CLRY DOCD TO 95735385 P.03
�• _
Page jf 2
ay Sigti
Ye�i pplict6on
AND �INFORMATION HEREWtCEi SUBMI'I'TbD ARE L*I.pi��"STATQKENTS AND ANSWEI2S�L1DNi'AINID)
'1'i�, ggStGlv�p�ggTIFtES tHpT'1'F�FOREG�ING SIGN ���5'TRUE AND CORRBCT, AND THIS STGN WiLI:BE
ERE 'ED AND MAINIAWED:IN ACCURllA1VGb W17H AI:L APPLICABLE I.AWS QF THE S?A1'E OP IIQDIANA, AND TI�
7A �G ORAINANCE OF CARMEUCIAY TOM`FSF�, II9DIANA AND ALL ACTS;AMENDATORY TFff1iET0, PiND SHALL SB
ERE° 'ED WITHIN SIX.(� MOAiYFIS OP'TFIE�A'7E OF[SSIlANCE'OR;THIS.PERMI?''IS NULL AND VOID.
FLR 1'HE UPFDERSIGNED GERTIFIED:BY SIGNING THIS APPisICATION THAT ALL REPRP.5F.NTATTVES B'Y THE .
DEP 'T�NT OF COMML'MTY SERVICES AliE ADVISORY:
RT .Mid-AmeZica RTM 'Mid-America
PROP'r 'i'Y OWNER'S 51CavATiJItE BUSII3ESS OWP2ER'S SIGNATURE
By E. Davis Coo,ts, Attorx�ey , By: �E. Davis Coots , Attorney
PRO RTY OVYNER'S NAME(PLEASE',PRINl) BUSIIVESS'OwI1ER'S NAME (PLEASE PRINI�
SIGN OMPANY: CONTACT PERSON PfiONE:'- '
- '
ADD Q7Y: SfATE>.—� __.,_,...::.
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'ff� ti1AwII`tG ITEMS ARE CONCERNS"9Y $'i'AF� OR PRIOR GOMhffI7v�NT5 THAT MiJS£ BE 'ADE�28D TO AS A
CO ON OF TF�'ISSUANCH OF THIS PERMIi (PLEASE INFfIAL Ea[!H iTEM iNDNIDUALL�: ,
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�1G El2M1T APPS.[G4ZIONt 5 OS�•�
s xECnoN_��.�;� s �0� � -
;CTION FEE(Req�red if P��PliY�Provide� 535.00 O Phrnn will be pmvided _
- TO'I FEE - 5 ` ��
LSSU'ED BY: ��� FEE RECEIVEDBY: � '
' '� ' 'STAMp. T PAIDSTAMP: .
RE.LER�FL� �Ffl� C�t�?c�x�g ie: f!QN _ '
i SubJecQ fo comptla�Gr:°tsiid�r ^:' �' :>�iefions _
af�?3t�� �se� k..-;?�:� :'. .°
D�:F'T �'� �.�R�fhaR�w,§;ro`�" .i::: . 'pG�� .
CITY OF CAF2i�flEl. J C11AY T�%a.�P�S"iP ,
s.� tappi II�9Di�NA
rcvis to/9?
� 9UG-16-2009 ,15�53 FROM CARMEL CLAY DOCD � TO 95735385 P.02
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SIGNf' �APX- ��-,�-- �
CAR*i�LCIAY TOwNSHIP, HAMIILTONiCOIINI'C�AvDYAlYA �
� � SIG,�I�P£RM1T-APPLIGATION o
n �
DATE , GEIVE1717,
���' �_.. PERMTT NiJMBER.
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-BU5INESS. RTEO�i"d-America/Arby "G ��' �� �8� 8
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ADD �SS: 9 31�1 N:_ Meri '� �"° � r��
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PROP �YY OVVNER ��me PHONE: '
{ _ CPIY. SIATE: �:
ADD 65:.
ZO D[STRIr'f; �=3 .OVERLAY ZaN�: 31' _._ 421 431_ OLD TOWN: YFS AIO X
REQ � APQR�vALS Pfan Caaua�ss�a Dockcc�f gZp llacS:ct�__�_DOCS Only�_
IS AN :+�ROVHMENT LCCATfON PERMIZ' REQL'TRED'FOR THIS-HUA.DING/'fEitiANT SPACE.
IF YE ,€ST2�TE PER.�SIT N[7MBER ISSL�ED. -
SIGN ;YPE-ciicle om: W0.LL GRfJt1i`71� AOOF PAOJECTIl�TG SUSPENDED PORCFi a'dN'L�OW �%
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N0: +,SIDES 2 SIGN STA?US�rtcle appcgpciau rupoffic{s). Nf,tii' �XIST�TG PERMANEPIT . C�
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Redton .
TO'f �!StGi�i nxE�1. Rcqucst�d 32 SQ.F'F. R�sstble_ 32 SO. FI'. C4LOR5:. : Wh1
' Single tenant
93 . 75
B . ' G QR TENANT SPACE s'RONTAGEiDIl14��75ION: Ff. BUII.DING TYFE: F r o o G t a n r3 i n n
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SE'CS OF SIG,t FROM NfARES'r RiGHT-0E-W AY: s'`��, �`�+ �CO �' �
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S�IQ �ING HENTER OR LOMPI.EX�IAME: -_ N/A,'
1� I c�EIiTIF�'THAT„A.PICI'VRE OF�,1T�S'SICnY WII:L$E'SUBbIITTED TO THE DEPAR'LMENf�P COA�(J2!YPI'Y
SERVIC£S WI7I�N ONE (I) P1E�K:AETER�ERECfION OF Tf�,SICn`i: �
AR- '
I — I W�UtD FREFIIt A�S35.00,TNSFECITOIV F�BE e�DDED TO Tf�':CA5T OF THIS PERiM4T TO COVER iT$CDSf
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OF TF�ST?;rF OF TF� DfiPART*ifEN'T'OF COb[D3UMTY'SERVIC�'S T�KLYG Tf�S P1C3'S7RE-
..�.T� .'CDPSES OF THE FOI;IAWING DOCUME:VTAT701`I AZE REQUIFtE� FOR T'kE REVIEVY QF TFIIS SIGN
PER �� 71'
r • COMPIETED AFPLIGI'ION ,
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' SIG�7,F.TF.VA17(7NS(dcpicti??E sIl"d'�en5loca:coFY ai7d C0[OI)
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5IG ,�PE&�fIfi P'EFS - /
- APPLIC?.TIO�`k . ....S?5.00
�TG �ERECTION ..... ....520:00 PBR S2Gi7 FACE'PL.US S1.00 P�R-SQUARE FOOT QVER'32 SQtJARE FEST
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'1TiE' i ERSIG;7ED:CF.RTIF�S'fHAT TE�FOREGOING SIGiVA'1'(JRFS;:S'fATEMENTS,AND ANSWERS IiEA�1 CONTAII!IfiD
AND `+AE IIIPORMATION HEREWITti'SLBMII'CSD"ARE IN^ALL RESPECTS7RUE AND CORREGT, ANII THLS SIGN WII.L BE
gtE 'gp:pNrj IyyqII`frpIP1ED IN ACC:UA1Jt4VGE W1'TIi AL1-'APPI.ICABL:E^I-�W9 OF ?FIE STATE OP II4DiANA, AND TF�
� , . ., AND ALL ACPS,AMENDATORY TFmtETO, AND SAALS.BB
ZA �G ORDIIdANCE OF G�R2viMELCLAY TORTtSF�.-�INDIANA
ERE 'ED WITHIlV S�S(� MON'1'HS,OP'2`f�-DATE OF.[SSi1ANCE'OR,THIS•PfiRMIT.IS NULL A.*ID VOID.
FGR . TI�UPFDERSIC�NED CERTIFI�D BY SIGNING THIS APPLIGTION TKAT ALL REPRE5ENTATTVES BY THE
DEP '1'�iV'f OF GOIvII�fL'1YITY'SERVICES'ARE AD�7ISQ1tY.
RT Mid-America RTM Mid-America
PRO r ?Y OWNER'S SIGNATUItE BUSIlV'ESS'.OWNER'S•SIGNATURE
By � E. Davi.s Coots, .Attors�ey 'By: �E. Davis� Coots , Attorney� �� ,
, . _ . .. .. � . . .
FRO RTY OWNER'S'NAME (PLEASE PRINT} $USINESS O`YlYER'S NAME (PLF.�+�SE PRiNT)
SIGN �OMPANY: COM'ACT PERSQN PHONE:
ADD : . QTY: STATE;._ZiP __._,...:
TFIE LI.OW'ING �EMS ARE CONCERNS BY STAFF OR PRIOIt'CO2�L�rIITMENTS TH!1T Mi7SF $E 'ADI�BD TO A5,A
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C� ON OF TF�ISSUANCS'OF"�IIS PERMI'i' (PLEnSE INITIAL.F.ArH z'F'EM tNDNIDT-T.�LLl�:
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RECTION-Improremern Pc.mit S .
LVS ;CfSOPI FEE+(Reqtated if,�homgsaPhY:wi PTOVide� 335:00 OR Phom wiil be p�ovided
T� ' � _ 5 ,�5.� �
_ FSE RECENED BY: . �
`ISSUED BY: ' , �� ��
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� S.i.A.�p: PAID:SSAMP:
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� � � � � GENEPAIFORY MO:]SSIR[V.199)1
RECEIPT
DEPARTMENT OF COMMUNITY SERVICES
N°_ 1038
FUND
. '-P,RMEL- IN.. � � ��✓� UV .
REGEIVED FRONI _ 'lo~T � oY VEpF •
�.� �C. � 90 .�
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THE' SUM O .F Do��;a s
ON ACCOUNT' OF S.J�75" � S � -� � a4 � �dat� ���
PAYMENT TYPE:@7qMOUNT �
CASH � CHECK��'M.O. n�� �/p �
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