HomeMy WebLinkAbout0006.01 Master Permit=\
.CITY OF CARMEL
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t MASTER PERMIT APPLICATION
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Builder: DAVIS HOMES.. LLC Date:
The undersigned hereby applies to the City of Carmel,. Permit Services office
for an Improvement Location. Permit (ILP) for Lot t 9 in (Subdivision
Name) 'EM p.ra U C(' e- S+ . The address of this Lot is
C 31g5
- - - --i he:ltilaster Plnn Fiie on record wifh Permit Services is: (Name of Model)- - - -- - -
Applicant hereby, agrees to build the, same structure, that is represented in the
approved Master Plan file on record with Permit Services.. Any alteration to
this approved plan wiil require submitting an Application for Revisions to
Orioinal Plan Submitted.
Under the penalties of perjury(Indiana Code 35-44-2-4), I hereby affirm under oath that
all of the information I have provided in this Master Permit Application is true and accurate
to the best of my knowledge and belief, and that I have not knowingly or intentionally
provided or omitted any information that would tend to hide, obscure' or otherwise mislead the
Dept. of Community Services regarding the truth. of the matters addressed therein.
Susan R. 1ackson _
Name of .Applicant or Agent (Print) Name of A " Jicant o - Agent (Signature)
MasterPlanFile/Master. Permit
Application
Est, June 1999