HomeMy WebLinkAbout030021-Master PermitC [TY OF CARMEL
MASTER PERMZT APPLZeATT. ON_
Builde
bate:
The undersigned hereby applies to the City of Carmel, Permit Services office
for an Improvement Location Permit (TLP) for Lot~'~ O~ in (Subdivision
Name) ~)¥~-g~ '~J~V~.L~C~- ~q~, ~'
~'~ ~ne address of this Lot is
The Maste~ Plan File on record with Permit Services is: (Name of Model)
Applicant hereby agrees to build the same structure that is repreaented in the
apppoved ~astep P/an Fife on record with Permit Service& Any altepat/on to
will requ/pe ~ubmiff/ng an ~fop Revisions to
Under the penalties of perjury (Tndiana Code 3§-44-~?-1), I hereby affirm under oath that
all of the information 3~ have provided in this Master Permit App ication is true and accurate
to the best of my knowledge and be ief, and that ]~ have not knowingly or intentionally
provided or omitted any information that would tend to hide, obscure or otherwise mislead the
bept. of Community Services regarding the truth of the matters addressed therein.
(Print) Name of Applicant or Agent (Signature)
61asterPlanFile/Master Permit
Application
Est. June 1999