HomeMy WebLinkAbout06010026-ApplicationRECORD
City of Carmel/Clay Township Permit #: ~ ~ 0 [ 00 ~., ~2
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
FAX
STATE
HETHOD OF CONTACT:
PROPERTY
OWNER:
~rNFO:
STATE COMMERCIAL
DESIGN ~ #: RELEASE:
WATER UTILITY
PROVIDER:
: o SPRLR
~ ~Appllcable)
LOt # and Subdlvis~n (IrApplicab'~)
TAX MAP PARCEL #:
(EKCLUD[NGLANDVALUE)~o.~ j ~ ~,5~b
CD
(or POST&.PIER)
DETACHED GARAGE
[] ATTACHED GARAGE
[] ~LL TOWER (New)
,N-=~-_ -TI N:
Manufactured
N Tfusse~:
Lot Split:
designaUon area: Y_.~N
m MBZNG NTRA ' ~- -: /~ f
Lto the sanitary sewer,
~he Depattmeaat c
State of Indian~
Services, Carmd, Indiaaa.
OFFICE USE ONLY= ************************************************************************
Filing Fees: - '.~/~
Under Slab Base
Additional Fees