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HomeMy WebLinkAbout030061-Master PermitBuilder: ¢]:TY OF CARMEL MASTER_ PERMZT APPLTCA'I-J:ON The undersigned hereby applies to the City of Carmel. Permit Services office for an Improvement Location Permit ([LP) for Lot-~____~_ in (Subdivision Name) . The address of this Lot is The Master Plan File on record with Permit Services is: (Name of Model) Applicant hereby aRPee$ fo build the same str~ct~re that is represented in the approved ~as~er Plan File on record wiPh PecmiP ~ePvlce$. Any aHeraffon to Under the penalties of perjury (Indiana Code 35-44-2-1), I hereby affirm under oath that all of the information T have provided in this Master Permit Appl cat on is true and accurate to the best of my knowledge ~nd belief, and that Z 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) MasterPIcnFile/Mcster Permit Application Est. June 1999