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WESTFIELD- TOWNSHIP APPLICATION FORM TECHNICAL ADVISORY COMMITTEE

DOCKET #: FILING DATE:

APPLICANT’S NAME: TELEPHONE:

REPRESENTATIVE’S NAME: TELEPHONE:

PROJECT TO BE KNOWN AS:

ADDRESS OR PROPERTY LOCATION:

APPLICATION TYPE: STANDARD ZONING DISTRICT PLANNED UNIT DEVELOPMENT DISTRICT TEXT AMENDMENT

PRIMARY PLAT SECONDARY PLAT DEVELOPMENT PLAN BOARD OF ZONING APPEALS

DELIVERY AFFIDAVIT

IN WITNESS WHEREOF, the undersigned, having duly sworn, upon oath certifies that on behalf of the above application, that I caused copies of said application and supporting plans and materials to be delivered electronically or in hardcopy on the day of , 20 to the members of the Westfield-Washington Township Technical Advisory Committee members as set forth in the attached.

Applicant/Representative (signature)* Applicant/Representative (printed)

Before me the undersigned, a Notary Public in and for said and State, personally appeared the above party, who having been duly sworn acknowledged the execution of the foregoing instrument.

Witness my hand and Notarial Seal this day of , 20 .

State of , County of , SS: Notary Public Signature

Notary Public (printed)

WESTFIELD COMMUNITY DEVELOPMENT DEPARTMENT | 2728 EAST 171ST STREET, WESTFIELD, 46074 05.29.2020

WESTFIELD-WASHINGTON TOWNSHIP APPLICATION FORM TECHNICAL ADVISORY COMMITTEE MEMBERS

CITY OF WESTFIELD

Westfield Community Westfield Fire Department (H) (P) Westfield G.I.S. Development Department (H) 17535 Dartown Road (for addressing) 2728 East 171st Street Westfield, Indiana 46074 2706 East 171st Street Westfield, Indiana 46074 Westfield, Indiana 46074 Fire Marshal/ Chief (317) 804-3170 Jim Roberts Leane Heiber [email protected] (317) 804-3307 (317) 804-3001 [email protected] [email protected] Westfield Public Works Department

Plan Review, Pre-Construction, Stormwater & Mass Grading (C) (P) 2706 East 171st Street Westfield, Indiana 46074

John Rankin (317) 804-3147 [email protected]

SCHOOL CORPORATION STATE OF INDIANA HAMILTON COUNTY

Westfield-Washington School Corp. Indiana Department of Transportation Hamilton County Soil 1143 East 181st Street (INDOT) Tipton Sub-District and Water Conservation Westfield, Indiana 46074 2152 West State Road 28 1717 Pleasant St. Suite 100 Tipton, Indiana 46072 Noblesville, IN 46060

Sandra Landrum Joe Montalone (317) 402-1823 (cell) Ginger Davis (317) 867-8045 (765) 675-7402 x 6 (317) 773-2181 [email protected] [email protected] [email protected]

HAMILTON COUNTY HAMILTON COUNTY HAMILTON COUNTY

Hamilton County Surveyor’s Office (H) Hamilton County Highway Department Hamilton County Health Department One Hamilton County Square, Suite 188 1700 S. 10th Street 18030 Foundation Drive, Suite A Noblesville, Indiana 46060 Noblesville, Indiana 46060 Noblesville, Indiana 46060

Samuel Clark Dave Lucas Larry Beard (317) 776-8495 (317) 773-7770 (317) 776-8500 [email protected] [email protected] [email protected]

SERVICE PROVIDERS

Citizens Westfield Citizens Gas of Westfield (C) Citizens Energy Group (C) (for water & sanitary sewer) 2150 Dr. Martin Luther King Drive 2150 Dr. Martin Luther King Drive 2150 Dr. Martin Luther King Drive , Indiana 46202 Indianapolis, Indiana 46202

Indianapolis, Indiana 46202

Richard Miller, Jr. Mitch House Construction Field Coordinator Chris L. Kehl (317) 917-5294 (317) 927-4684 (317) 927-4538 [email protected] [email protected] [email protected]

(H) = agencies/departments that require hardcopies of plans; otherwise electronic copies of plans suffice. (C) = denotes agencies/departments that require CAD files of plans. (P) = PDF

WESTFIELD COMMUNITY DEVELOPMENT DEPARTMENT | 2728 EAST 171ST STREET, WESTFIELD, INDIANA 46074 05.29.2020

WESTFIELD-WASHINGTON TOWNSHIP APPLICATION FORM TECHNICAL ADVISORY COMMITTEE MEMBERS

SERVICE PROVIDERS (CONT.)

Duke Energy (Noblesville Office) (C) Duke Energy (Carmel Office) (H) (C) Duke Energy: Asset Protection (H) (C) 100 South Mill Creek Road 16475 Southpark Drive WF500 / 2727 Central Avenue Noblesville, Indiana 46062 Westfield, Indiana 46074 Columbus, Indiana 47201

Bill Oldham Matt Dayhuff Ryan Daugherty (317) 776-5331 / (317) 617-9099 (cell) (317) 896-6704 (812) 375-2021 [email protected] [email protected] [email protected]

Panhandle Eastern Pipeline Company Indiana Gas / Vectren (P) (C) Comcast Cable 9371 Zionsville Road P.O. Box 1700 5330 East 65th Street Indianapolis, Indiana 46268 Noblesville, Indiana 46061 Indianapolis, Indiana 46220

Troy Yackle Chad Miller Earl Small, Jr (317) 733-3213 (317) 776-5590 (317) 982-1161 [email protected] [email protected] [email protected] Mark Wood (317) 733-3232 [email protected]

Level 3 Communications Spectrum Buckeye Partners, L.P. 1902 South East Street 3030 Roosevelt Avenue 5521 W , Suite 305 Indianapolis, Indiana 46225 Indianapolis, Indiana 46218 Crown Point, Indiana 46307

Dewayne Hamilton Matt Filson Jana Olthoff (317) 916-2708 (317) 713-3899 / (317) 618.2822 (cell) (219) 796-8226 / (219) 741-0201 (cell) [email protected] [email protected] [email protected]

Marathon Pipeline LLC Frontier Communication AT&T 10722 East County Road 300 North 20905 Hague Road 240 North Meridian Street Indianapolis, Indiana 46234 Noblesville, Indiana 46060 Indianapolis, Indiana 46204

Austin Guyer Steve Costlow Brian Wente (317) 291-9460 x1233 (317) 984-9010 (317) 610-5440 / (317) 525-4894 (cell) [email protected] [email protected] [email protected]

Zayo Group Indiana Fiber Network MetroNet (C) 5200 East 64th Street 722 North High School Road 330 East Main Street Indianapolis, Indiana 46220 Indianapolis, Indiana 46214 Westfield, Indiana 46074

Waylon Higgins Shawn Wright Chris Bluto (765) 341-1199 (317) 777-7119/ (317)605-2564 (cell) (317) 465-1046 [email protected] [email protected] [email protected]

(H) = agencies/departments that require hardcopies of plans; otherwise electronic copies of plans suffice. (C) = denotes agencies/departments that require CAD files of plans. (P) = PDF

WESTFIELD COMMUNITY DEVELOPMENT DEPARTMENT | 2728 EAST 171ST STREET, WESTFIELD, INDIANA 46074 05.29.2020