HomeMy WebLinkAbout0249.70 Certificate of OccupancyRev. I-1-61 Sneet 1 i 2 �:�:ee :s
.��,i •"OI�Ta �10 ti.`.l. :'].:.c: i:_ .. ..,i;..�c,� J'],t'�
:'C i�AT1L �
' T':ZTCp l'Ii7?i �0° i Y;PR01j'» .:}: -p ' i, - P :D - -- �
�_- ' 1. C,�.'i' �. i. t�
f � _ 7� -:-�
I `..�,
I T?.nte filed p27 %�
� .
� Tne undersig�ed a�-rees �n;<t ^_;� co::st-_�,;�tio:;, reconstruCtiOri� �..—
lar�ement, reloc��ion o: a].teration oi structure, or any ch�rr�e in t:;:-
n,e of lzr:d or structures reque>ced by �.._s a;;nlia�tio^, wi11 r,c,:_�1;;; ::i�:,,
^nc� confort;i to, all z�nolic�ibl.� l�,•r�:: o" t:�� .,��z�e oi Indi�:�a, and ti:e
� "7.o:zina Ordin�nce of C,zrmel, I:��1i_:r;::-19u:., °^�.do��e� un3er the c1Ui.7:OL'1 �-
i o: Chzoter 174 of the Acts o:' 1�Y?, Gc;,��:ral :?:;se:�bly o° the St�te o�
� I�dial^a, and all �cts a.^,:andato..y� t^ ret
. �
1 ?'ame of :;pplicanf'�_°�'g_'` G�i%F����G� Phon�� \o�yl"--���(o
'`' � r�d3ress of Aapllcan�i99�l���S��S��f�LL-
I�
� `•:�:ne of Owner �/�GG?�iGl� Fhone No. �4'-���
P.cldress of Oianer
I,ocation of Pronerty. Lot No.�_!�_ Ac?ii �ion ���'����
Street \o, c�r other descriutiori of lc,ac;ticr._ � M�O r,��,
t•rr-.sent Use oT' Yronerty /
Proposed Use of Property
Zonina Cla�siflr,ation of Pronert;/
r!�TE: Applloation for an Ir�prov�=.r.enc I,oc,:t5 on Perr.,it r,iust be Accoi, n�nied i�•
two blueorints of a p2ot olan oi the n.�op�•s•ty dr�nn to scale, and s;orrir.�•
l.�cation of an;/ eX15t1:?iT strue�uxes o: p:o�osed structures tonether sei:;i:
a. det�iled written expla:�atlon of the propcsed Inhro�reraents, and o�i�er �n-
formztion as maJ be required.
SIG� •D: `y /`
� til,��/
owner - �.�ent
P Permit Fee of �p�must acco;noany �:is aoplieation.
Perm� t Fee recelved by ���1� � ���� —"„' �� �
BUILRING COMMISSIONER
Ti �le �
�� � � ���� ��'�
.FUILDI,'.�fG C:�1���I�SIONER
' CLAY TOWN5HIP
., .. •.,•
Hn?.rt1T,T��:
� �v 9�� ��
Di�. � . `�i�,
C' ..' 'c'�� �l%
u r�:.
C'dr��i�j� 'G, �S�•.
lia sf�. • `y O
� �°°E.��
�� �