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HomeMy WebLinkAboutCarmel Motorsports 041119 � _ i CITY OF' CARMEL Item l of l PERMIT RECEIPT OPERATOR: pmo 'rriss � ' COPY # c 2 Sec Twp;:;17 Rng: 04: Sub : B1k:07 Lot.: PARCEL ID _ . _ . . . .. . : 1614070'4080'05000 DATE ISSUED. _ . . . .,. : 11/19/2004. RECEIPT '#. . . . . ., . .. . : 1'6D38 REFERENCE ID # . ..: : 0411012=2 .SITE ADDRESS . . . . . : 3400 EAST 9.6TH ST' SUBDI�VISION .. ., , CITY . . . . . . : INDIANAPOLIS IMPlaCT AREA .,. ., . . , ; , OWNER,_,.. . . . . . . . . .. . : R. SCOTT JEFFARES ADDRESS : , . . .'.-. . :"z 3400 EAST' 96TH ST ' CITY/STATE/ZIP . . . i INDIANAPOLIS; IN 46280 RECEIVED 'FROM .. : . : :. PHILIP A JEFFARES CONTRACTOR' . . . . . . . t LIC _# CC00029= , COMPANY ,.; . : ;•: . .,. :; SIGN-A-RAMA ADDP.ESS .. . . . .. .:. . .. . : 616 STP:TION 'DR CITY/STATE/ZI.P . : C1IRMEL, IN 4'6032 TEliEPHONE' . . . . . . (31'7) 575-1'805; FEB SD UN-I,T QUANTITY: AMOUNT PD TO=;DT THIS REG •NEW BAL SIGNINSTAli SQUARE FEET SIGN' TEMP. FLAT. RATE, 1 00, 7,5;, 00 0 . 00 75 . 00• 0 ..00 , 45 . 00 10.2,. 0;0 0 . 00 102 . 00, 0 . 00 TOTAL PERMIT .0 177 . 0'0 0 . 00 177 . 00 0,. 00 METHOD ,OF .PAYMENT AMOUNT . NLTMBER - -�------- -- --- ----- -- - ----=---_---- -::-- CHECK T7Z . 00 832 �TOTAL RECEIPT : 197 00 VOV-i0-2004 i�cG 03.34 FYi CA�ffEL COMM:i1'sT" SVCS �Fa; "!0, :,17 5it ?�28 P, 0? _« �� �J - ` /�'� . �� " /� ,L � $IGi�,�: �_�t�V . or 1. � .4G\..4PDRESS �'►W V . I�i v�• , � ��„ ' - s j.���. `- - T ' i1Rb �L'(;�T:AY T�?S�`VSHIP.HAVIiLTO\COL�T1.]t:Ui�\"A 3I,N�BBR�11T APPL�6'ATTC]'V � �oa.-��S � o �a D�re� ��en:�0 � eeRnzir nn.tirasrc: �v.a:�tEOF,�';sn" - MoT 5P TS _et�o*_:F: 8l� •�tR"7'7 nnnrcFSSS 3�Foo E•91�T-" ST�_ C["I�': {IJOPL:S ___ST.4TE: ll� zrY: 4�o32 PRq�ERTti',OW:�ER Q.�vrr' �Ei�AP�S YtiUtiH: SgO . 322 I ,� d,,� ,�.aDF.ySS: 3�oc� 'E • 9�o� ST. ��. 7�7- '�(,�B`" 1'l�'�" _i:CT.. _ !N4'PLS� _,.__ST.4TE: !A/ ZIP: �6�3� . �'7_011:��G�DStiTRfGT:_�_Cb"L'i.LAY GU��E: 31 . 4?1 .. . J3�1�" rC�LG T�Ot'V'.V: YES_NO v RFQ�r1REll:APPRO�%�L5:P[.iii�i,unuri.�`inn�C�ocxet� .�IW��3'LRDac et# _U0450c1y,� IS'.+\�,\!lPP..OVE�/E^IT L4CA]'iON YrRlII7 REQliIi'cF.G FOP THISBli1LR1\G/TEN�A\T SPACE'! IF I-E 3, STAT'E FEF 1fLT.r UMB[R]SSLBD SIG\TY'PE.i;tcicOne: . �VJAL� GROLTiO ROOF PRCJECTi:QG SL*SPENDED POFCH WLVDU\\' Ul`$PF NG.Uf'S1�ES �� _Sll'�;�' ,.S"Tl�T:iS-eircla appropxi:�te�csponsr(;1;NEW EXISTI`iG PER�S.4NL1�7' TG?vIPORARY' �VcRALL S[Glv i-IEiGS3T FRO?;�I GRGUNU: (S __F?.OVLAnLL SIG\DT:\4LNSl0NS: 3 F7.s � ,,,FT. T��TALSTGNnREA.: R�qucstcd� SQ.FT.Pe.mi;sblz_,___,�'I J _SQ.FT..CGLORS: " `U � BL�ILDINCi�ORTd\�;+.N7�SPAi;EPRO�T:nGEDIME\SI9ti: s� .FT. F3UILDI�IGl'1'Pk: �K� �� SE"fHACK�GP SICrN FROtY:NErlREST I2lGH'1""-C�F-�r'.4'Y: 3T FT. `:r:j? �_ T C�GU BT�ENSIOtiS:_ � N/A _,L060 fS �N/A PERCE\T OF SIG?i AKE.4 /.. ARE THERE Ati]'E!i1STf�G 3IG�S Oti i"ril5 SiTF.? iF S'F,S,F..XPLAf� fJD SHOPPrvc;CE'aTEK O��CO�IPLflx�wME: N�A (i�Q� 7G�� �• . � T CERTrY"TH.4T A P�c"'fL1R?=:OP'TI-I15 SIGti`�41LL 13E SL:B11[TTED TO THE DEPART;v1ENT OF CC7�t:�tU'ti'ITY SERU]GES\i+1TH1N O?.'E(1)VdE,SK AFTER ERECT[UN OF THESIGN. -OR- 1-�l%OlicD PREFF_t A�93 SU I\S?ECTICJN FLE BE ADD EA TO TAE COST OF THIS PERATIT TO GOVER THE COST OF 7HE S"fAi�r�.OF THE UEP.4R'TViETT'1'qF LC)�t\SiJ1ViTY�SERV[CES T-4KRVG THIS PICTC7[tE. TI��O Cl7PIES OF THE FOLLOLVING D(�CL"�4E?�'TAT[O?J ARc REQUll2ED FOR �H� RE�rlt;w OF TfiIS STu\ PERYITI': � ° �CC�biPLETED 4YPL!CAT1C�\� " SI7E YL.'.�'(iepicua.�aJ1 d r�en iar.s,se[6acks and,aropoxe�sienJoc.atian) * STUC�EL6VA7IONS(cSep�cting�ali�3iincr.sions,.copysndcol�r) '" BUi�AP.�GOR IEV?.NT SPAC[ kL�'�'A"!10N idepiuting frontdgS d'un.mio:is anu��proposed s.�ndocatlon) '� LA�DSGIFP PLalv:Reyuired fa s3rcund si�ns(dzpiamg.dieplornng,.r.�amre heigfns u�d ca:iperl * See SampEes.4ttache� � SIGN PER��IIT FEES: :.P�'R!vi[T'.wPFLTC.4TI0IV...................:........S75:L`0 .. . ._ . . . ..,, - -�IG>',£REGTIU'i........_ . ..,::.�. .. .......aau.UO PFR SIG�FACE PLL4 R1.5D,PER SQt;ARE fUOT -REP!-AC631}iR.�OF�SIG\FACE�IN�Ai�F,X[S?I\'G CABI*IET••530.00 PL['S 31.50?6R SnliARE FOOT . .� (Continutd�OsPogc?) � `,�'�� yC�J-1G-'c'0!J4 .JE,) 03;�5 F'[! _�kKMc_ �Ofi;'IJN�Tr SVi;� F�Y V0. 2�I .571 ?�2� F, U3 Pa�e 2 uf 2 Cam�eUC13�Sign Permil:4pplicatioa THF�t�:�'I�ERSIG�F..0 rER1',FiF�"C�1-t.?i�"�'i;F.FQftEG�?tNG SIr,Na_i'UAL'S;ST.47'EhiE�TS P,\'D ANS�tiERS HEREN C-n�TAI\"tll .��'B?'liE IAiFUR?�1:1TIU� ELttL"�V1TH SUB�t:TTEP_�RE?�.�LL RlSYL"•fT8 TRUE A\'U CORRECT, A1ll 7HIS SiGti�vCLL DE EF1:C.Tr.D .iN�"Mi�I\'T�L4VLD Iii 4l'C%JRt];4NCE U°il'H :1LL APPLIf:ALLE LA46'S Of 'I`HE 5"C.4TE OF I!VDi4u�, .4?�L�1 THE LO\f�!G l�RD1�I.4VCC OF C.4i1b9EL.%CL.i�'IORNSHIP;I*'DL�ii;�A`.vI3?.T.LAC i S.A?oTENUATOIiY THERETO,AND Sl-IAI.L I!E £:RBI;TEA V.ITffiN SLl'(6)?�40\THS O�THE D�TE ilF 1SSUAh'CE Q2 THIS PERD.4I7'IS NL�LL AVL VOtL. FCiRTHER THr �C2dDERSIt'iIEL CERTIFILD B1' S;ii?�I\G T'Hi$ APELII;hTIO�� THAT ALL i�EY12£SE\TATIVES OF THE bEI:iCtT'�1E�T'f�P CQIvS'�f'u�tiITY SeR1'?CES:ARi;?.D`,'IS(]RS'. PTtUPF,RT'10W,�'ER'S SIG\�T'UR� 6USI�iL•SS O«%NER'S SIG�'ATLRE 12.S Co TT ��(Z�.S l7 .sCbl'C �Cr�FA�2GS PROPEP.7'i 0\V\�'h'S:Y�1�1F(PLEASE PR.IVTj I3L�SINESS OWNER'S?�A�fE(PLEASE PI21NT) � sic�c�xiN,art�: SJE.IJ • A� • R.AM A �corrT.�cTrFxso� '.So�L 1-�,t�pHO��: '15• l 05 .ADLIReSS:_.:�I(p ST�Ti On1 �. c�rr: CA�0.l Z ST.�TE:�Z1P��F(v03� TFIE FOLLQ«iVG I"CEP.iS ATZL'• C'ONCE2N5 BY ST�FF OR PRtOtt CO;�I,�tifTR?E\TS 7'HAT �4liST BE .�DHERED 70 .4S A CONI)I'CTON C1F THE iSSUANCE 7F THIS PER*4IIT IPLEAS$1N1'FTA�i PAC7-1 TTEivf�INDIVIDUALLl�: 1) x ') �— ' j� X '� �__ SJ X__ alGV PEitLiir.=.PP!lCa'f[G:: 5 ����. 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