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'<\)~tJF: $7}1.:J0 plus $103.00 per lot ($257.50 plus $103.00 per lot)
~... ,16165- DOCKET NO.
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The undersr~j'n-ed agrees that any construction, reconstruction, enlargement, relocation or
alteration of structure, or any change in the use of land or structures requested by this
application will comply with, and conform to, all applicable laws of the State of Indiana, and the
"Zoning Ordinance of Carmel, Indiana - 1980", adopted under the authority of Acts of 1979,
Public Law 178 Sec. 1, et seq, General Assembly of the State of Indiana, and all Acts
amendatory thereto.
Name of Applicant: J A M..lcd Z D..... ( .";::)..a:- Phone No. 3 /7 - ~ 7 <-( --(p (, cj 7
Fax No. :?/7.g/. ';2 {, l- J .j'MM\.{~~ r<.~wtCt . ".J~.
Address of Applicant: 1M>2.t> ~~ tl.,AJ V~ , (l~/n,J " ;z:... YG-d':3
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NameofOwner:~lM~ ~D--,t..~ .tJa.~""R.A "j)...,J.~ Phone No. 317"~O"I<-2~
Name of Subdivision: DUll"'" Woodg
Legal Description: (To be typewritten on separate sheet and attached)
Area (in acres): .). I 'r- Number of Lots: L Length (in miles) of new streets
to be dedicated to public use: p//J-
,
Surveyor certifying plat: ~ \ (DA. 2 ~ ,~ ~ ~ (2. \.:, . x::~.
Address: 1.3 I' () &mt 4 a: fZ..() Phone No. ~ II .. ill.{ I · 3 '<fr
/t/t?~n~v~ $a S/~(:)c;.d)
*********************************G.*~*7**************************************ST A TE OF IN 0 lANA,
COUNTY OF ~'P-z ,SS:
The undersigned having been duly sworn, upon oath says that the above information
is true and correct as he or she is joformed and belie
')1 SIGNATUREOFAPPLlCA: ,,' ~/ Print: JA-.#~ "L j)1')/~ a:.
Subscribed and sworn to o;~ me this ~.}rlO day of y?J /tI!.e-.J.... ,20 tJS'.
anc~f)I)AA'A)L ~
./. ~ r I . Notary Public f
My Commission Expires: V~ / ~ c2JJ / }
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5.1.10 Application far Primary Plat Two (2) copies, or more if necessary, of the primary plat
and of the construction plans together with supporting documents shall be submitted to the Director of
Current Planning with this application. ThASA plan~ ta bA di~tributAd ta all Tachnical Advisa-:y
CammittAA autharitiA~ by applicant
FEE: Received by:
Z:\shared\forms\PC applications\primaryplat
01/04/05