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HomeMy WebLinkAbout030052-Master PermitCZ'D/ OF CARMEL MASTER P_ERMZT APPLZCA ON Dote: The undersigned hereby applies to the City of Carmel. Permit Services office for an Improvement Location Permit ([LP) for Lot ~ ~ in (Subdivision Name) ~ ~ I/'~.,/~- The address ....... ~' ~-'' - OT T~IS LOT IS The aaste~ Pla~ File on ~ecord with Permit ~e~vices is: (Name of ~odel) Applicant hereby agrees to bui/d the same structure that is represented/n the record w/Ph Perm/P 5erv/ces. ~ny a/Perap/on ~o ~o~ Rews/ons ~o Under the penalties of perjury (Indiana Code 35-44-2-1), I hereby affirm under oath that all of the information I have provided in this Master Permit Application is true and accurate to the best of my knowledge and belief, and that T have not knowingly or intentionally provided or omitted any information that would tend to hide, obscure or otherwise mislead the Dept. of Community Services regarding the truth of the matters addressed therein. Name of Applicant or Agent (Print) Name of Applicant or Agent (Signature) MasterPlanFile/Master Permit Application Est. June 1999