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°',�� t r� r c�VnS t`K `. 770�V 2. 4''�tesidentia ne '1'wo �amil�r)
, ''�X &: R�31��ht��� r'1`wo �eiritly) - 3. O Commercla
`��. � Res►d�nH�[a qhI fairiily)" . ��M�T 4. p Industrial
.. ,� � ; , .Cbt]tt�i2YCig']' 5. Q Other (Specify)
� : 7� p •.Indus�ial _ _
�.' "� �.' 0 inscicuKonal E, PROPpC SEp USE OF PROPERTY .
- i. �'rt{e r Two Family Dwelling
� B. 'f�'PE�f� S�WA��tpfSF'OSAL 2. O b u ti-family
1. ��Pub[�� (Nam� oi Syst2m "�AlL MEL ) 3. O Commercial
�. O Private (S�`eptic Tank, etc.) 5vi I.t� 4� O Industrial
C.. TY��PE� F 1MPROVEMENT � 5• O 9ther (Sepcify)
1. (9'New Structure � �m F. ZONWG CLASSIFICATION OF PROF>ER'fY
'1. 0 Commercial Tenant Space r- Present S- /
3. 0 Additi'on Porch Room �� � G. ESTIMATE COST OF C NSTRUC'CION
4. p Remodel �` � �
5. � Foundadon Only � n p�° � m (Excluding Land Value� /� Odd -�"
6. Demolition y��� � H. Lot Split Yes No �
ry. O Accessory Bufiding � p� ' O ✓
8• O Swimming Pool 3' -n z� � �� Flood 2ones: Yes____ __ _ No�,
9. p Gara e Detached
,�, n A. B. C./
g �'�`��-�-p- J. Sump Pump: Yes _�% __. No�_.
; b. PRESENT USE OF PROPERTY �/
f. b Fattn/Vacant � m rn �� K• Geothermal Heat Pump: Yes___ No_" ..
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•The undersigned agrees that ahy cons tion�le trt�tion, enlargament, relocation or alteration of structure, or any change
ln the use of land or structures requested by tt�a�pl ti n will comply with, and comform to, all applicable laws of the State of
Indiana, and the "Zoning Ordinance of Carme�lndi�� 1980", adopted under the authodry of Acts of :979, Public 1.aw 178
Se�. 1 et seq, General Assembly of the State,q''( Ind�ng� and all Acts amendatory thereto.
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F further certify that the tonstruction will noTbe used ar occupied until a certificate of occupancy has been issued by the
Department ot Community Development, Carrnel, Indiana.
1 further certffy that only kitchen, bath, laundry and floor Inspections Needed: ra na
drains are connected to sanitary sewer. — � _
o ng/UnderSlab ele�
Sign�at 1'e of Owner or thorized Agent -
'�/ 9r,� , r4.,-.�. ��r� � e� ugh er B s
Address P D��X �Fs7 0 na C/ �
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Ciry State ZI Pho 3�7�
�q�ryE,L_ lll� p �j� ��d Square Footage ._
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Se���cuZ All_ rP_. .TS'8 9.4�.r9 ermlt (Sq. Footage) .... . . . . . . .. _. ZS3------
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partmen Community Developmer
� U � I U V I�OI --- ---
Rev. 4-Z4-86
Inspections ..................... ----- -- --
6s --
Certi(icate ot Occupancy. . . . . . . . . _�15.�__ _.._._
'fotal .......................... _
Plan Comm. Approved (Date) _ �'�°� � _
Board of Zoning Appeals �/�
Approval (Date) _�(! /�_.__ _ _._ . _ .
CITY OF CARMEL
APPLICATION FOR $EWER PERMTT
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PERMIT NO • � ` 5 �= � `� DATE: !��4 �-�N � ` �
•�__'�-`--�__ __�.�..__.._ _..-�-.---
APPLICATION iS HEREBY MAD� FOR PERMISSIUN TO CONNECT THE BUILDING AT:
SUBDIV]:SION:��I �`1�l�Lti;t_� ;"r_l--�;-�,--N LOT N0: �x � SECTION N0:
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