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HomeMy WebLinkAbout030078-Application~or CITY NO. Date Roll File zears of the issuance date. Zc' :3 d_ OWNER NAME PHONE qTREET CITY LOCATION a porch 3. [] Multi-Family Type of Foundation 4. [] Commercial/Industrial 5. [] OTHER (Specify)__ [] Slab B. SEWER: 1 [] Public (Name o£syste ) 2. [] Private (coUnty permit # ) C. WATER~-, 1. [] Public (Name ofsystemU-~5~x'~w3, ) 2. [] Private (Coumy pe~rfit D. ZONING :~ K. Plm Addition: Porch Room ~emodel [] Cunma~-~rcial ~ Space ~oUndation Only -~emolitiun '~;ccessory Bmldmg e Detached ____ Attached___ YES NO z, YES NO ~ YES X NO YES 5v-k NO E. ESTIMATED COST OF CONSTRUCTION IRC Plumbing Code [] Plumber s (Excluding Land Value) Indiana Plun~ing Code: ~ License #: \ ~5\q-I '~1 I, the undersigned, agree that any consrrucnon, reconstruction, enlargement, relocation, or alteration ora structure, or any change in me use m ~an~i or stractul'e~ requested by this application will comply with, and confom~ to~ all applicable laws o f the State o f Indiana, and the Zoning Ordinance o£Cam~el Indiana - 1993~ (Z-289) and amendments, adopted under authority of I.C. 36-7 et seq, General Assembly 0fthe State of Indiana, and all Acts amendatory thereto, I thrther certify thai only kitchen, bath, and floor drains are connected to the sanitary sewer rtil}, that the constructiou will not be used or occupied until Certificate of Occupancy has been issued by the Depart~en ludiaua. w, INSPECTIONS NEEDED: Signature of*Owner or A~thorized Agent --- ,'Phone Number1 /~[ ~/Filing Fees: Base lnspecnons: E-Mad._~_ ~'¢ ~ Cert. of Occupancy: ~ : TAC D~atels}