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IMPROVEMENT LOCA�ION FERMIT °'"`-- �� ���'-�-�,�--
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T ,aCmd of ructurc --- nf �n.� RF�k,''f' 'r, � „
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�- --"-'-- `�—� comnuned o❑ I:uiJ here describec �
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,y�� _ _ Lots, ,leres. Uescription of Land
o.�Ep ... .�.����� �s.:ckmn,led�;ed of fees:�s follou•s:
.\ .tho�ircd under Indians :\ets of Afardi 1°. 193�.
��'�- •' -'�..t ��sucd subject fo all local building restrictions as sho�vn in >rour abstract or purchase agreemenU
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IIuilciing �1^ �"J ►/!' a. T
Building Commissioner
Llectrical
Plumbing
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L o c a t i o n A ress_�� �onsti-�,�cc 9n
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A. TYPE,C-F �CddS:RJC ION
�
. CI R�::�e:rt:al (Not mu:ti-£ami�y)
. ❑ Com,:.ercis_
'. ❑ Sim
4. ❑ i:cce�sory `�'.dg.
n. Tv� cr• s�Hac� �i�rostiL
. ❑ CLb] ic
._. ❑ Fr�tnte (Septic tan;�:, etc.)
C. TYPE OF iMPR01•"�•�:i!'.
i. a t�eo-: sLrvc�ure
2. ❑ �1dliti.�r.
3. ❑ Alterat.on
4. ❑ Foun;atinn only
5. ❑ Der�c'. 1 �ion
D. ?R-:,SE'.?T li�r CF rROPERmY
' ❑ Fai::
2�1 Residentia: (14ot multi-family)
;. ❑ Ccmmercial
4. ❑ In:u�LI'lai
`J• ❑ �'-hEt-3�eC1�}'
E. PRCPOSED ll5E OF VROFEFTY
1.�One oc� twu family dwelJ.ing
z. p r•ll.� c.-ramily
3. ❑ Commercial
4. ❑ Indu,trial
5. ❑ Other-speci£y
G. 7.ONI*JG CLASSIFICATION OP {�ROPERTY
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Present '� Proposed
I hereby cert:fy that I have the authority tc make the foregoing application, that the
applicaticn is correct, znd that the construction �•�ill conform to the regulations in the
Building Code, the °Zoning Ordinance of Carmel, Indiana - 1961,�� adopted under t}le authority
o£ Chapter 175 of the Acts of 1?4'7, General Assembly o£ the State of Indiana, and all Acts
amendatory thereto,'or private bu�iding restrictions, i£ any, �ahich may be imposed on the �
above property by deed.
I, further certify that no injurious drainage of area or damege to public property will
result Srom this cor.struction.
I, £urther certify that the constil�ction will not be used o: occupied until proper
certificates o£ completion and compliance are filed witli the Building Commissioner's Office,
Carmel, ?ndiana.
If ��l�/ .%�/ C�/�: c:�j G�� G
:ure o Owner or Au ior,�ed nPa„_
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