HomeMy WebLinkAbout06010053-Application IMPROVEMENT LOCATION PERMIT APPLICATION
:amily, Multi-Family, & Two Family: New Structures, AddiUons, Remodels, & Accessory Structures
PROPERTY
OWNER:
PHONE
~EX~NTRACTOR; PLAN COMMISSIOI~ / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
YPE 0 m N:
~'-~SINGLE FAMILY
[]] TOWN HOME
~ TWO FAMILY
#of
TYPE 'FI-~.~-_ - :
~.... N E'~V STRUCTURE
[] ROOH ADDITION(S)
ADDTI-~ON(S)
v/Indiana Amendme
C~T¥ L)~ ~/~;~(Ld~T~ (Check all that apply for the new
Early Release \ Manufactured
Permit: Trusses:
N~h~3&~WLSPACE~ [] POST 8t BEAM
Lot Split: N Sump Pump: c-'"~ N [C1"-~TL.AB {~--6/~EMENT
Does any part of the property lie within a special Flood designation area: __Y ~N WALKOUT:_ Y
For SL~g~e Family aacl Two Family dw¢~tags, additioas, ~modeb, aad/o; accessory st~uctu~s, thts pmmtt ts yard o~ly ff coas~uctio~ comm~mc~s
~mir~ ]80 days o£ t~e clat~ o£ Jss~a~c= o[ thc buttc[tng petT~tt, a~d atust Tb~ comp]~tec~ (Ce:t~[icat¢ o£ Occupa]nc¥ ~ssuc~l) ~rir~ [8 ~o~r]as o£ the
dine £tames
L the ~d~, ~= ~ ~ c~as~o~, z~co~c~oa,
OF~CE USE ONLY' **********************************************************************
' Filing
~ONS REQUI ~ED:
~- --~ . . . ~ Ins~ions: ~ ~' ~ ~a~ R~
P,R.LF.: