HomeMy WebLinkAbout06010029-Application City of Cannel/Clay Township perm~ #:
COMMERCIAL or INSTITUTIONAL IMPROYEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
BU'rLDER of PHO,E F~X
RECORD: ~
PROPERTY
OWNER:
ENA[L~DRESS'
BEST METHOD OF CONTACT:
SUITE # (If Applicable)
INFO:
different U~an Address of Cons~rucUon)
Lot # and SubcllvLslon (If Applicable)
SCOPE(S)OF ED FDN ~ b'ER ~ ARCH ED MECb C PLUM J SQUARE
RELEASE: .,~ ELEC ~ SPKLR OTHER(S):. J FOOTAGE:
SEWER UTIL~TY~ ~ FSTIMATED COST OF CONSTRUCTION:
TAX MAP PARCEL #:
MAN COMMISSION J BZA ! ~ DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #~5 (If Applicable):
Etevator or Uft: ~ YES ~[, NO
TYPE F ~- ~-I. : : -:= - VEM :
ana mea~c~ omces/cencers-
are commerc~ )
C:) Chumh ?~ !];~"~CESSORY BUILDING
[] DETACHED GARAGE
[] ATTACHED GARAGE
[] CELL TOWER (New)
C3 CELL TOWER CO-LOCATE
(or POST & PIER) WALKOUT: Y N [] DElqOLIT~O/~
-:_ E- 'INFO - -T N:
Early Release _ / Manufactured
Permit: Y~N,
Lot Split.' Y N Sump Pump: Y
Does any part of the property lie w'~hin a special Flood
designation area:
Plumber's Indiana State Ucense #:
beginning and completing construction.
requested by ~ application will comply with, and conform to, all applicable laws of the State of Indiana. and the "Zoning Ordinance of Carmd Indiana - 1993' (Z-
289) and amendments, adopted under authority of I,C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatoty thereto. I further certify that only
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Fee Received Dy:
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