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HomeMy WebLinkAbout030020-Master PermitCZTY OF CARMEL MASTER PERMZT APPLZCATZON Builder: The Undersigned hereby applies to the Cily of Carmel, Permit Services office for an Tmprovement Location Permit (]~LP) for Lot ~ in (Subdivision Name) The address of th s Lot is The Master Plan File on record with Permit Services is: (Name of Model) ~pplicflnt hereby a~rees to flui/d the sa~e structure that is represented iff the approved ~asfer ~/a~ ~ny a/feraf/an ~o fh/s approved p/an w/// ~equtre subm/ff/n~ an ~//c~/o~or ~ev/s/ans ~o Under the penalties of perjury (]:ndiana Code 3§-44-2-1), ]~ hereby affirm under oath that all of the information X have provided in this Master Permit ApPlication is true and accurate to the best of my knowledge ~nd belief, and that ]: have not knowingly or intentionally provided or omitted any information that would ?end to hide, obscure or otherwise mislead the Dept. of Community Services regarding the truth of the matters addressed therein. Name o~ Applic~Print) Name of Applicant or Agent (Signature) /~asterPl~nFile/M~ster Permit Application Est. June 1999