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0812.87 Application
,. r. , „ __ ,, z - ,. - , � , _ ,_- „ - _ _ _ _ .; `�. - ����y Impro��:rt�n� I,c�cafie�n Permit ��ermitNo. �f�� ;' ; '� - T�+�.mship Date_ -- �i -�__ -� 7h;s permit',.s valid only if construction is started ��!ithin 120 days oi issuance date; all constructior is completed (c/o issued) wii��in `j � ....: ::.:.. ::L - - : :,, ,�„�.. _• �_._ _�.. _�- �.�,. us �,;�;;_ ti>� tio�.. �F(;�;,,llu nrantnrl hu 1�ttr-r hv the Director, Dena?'tment of � .��. ..�.:_.,_ .. . � . -. y ;=; : -= - -- �c�n'iiriun�ty Uevelo�ment. �- x, �Y - - `�""� ( "t r-' �� isi �: .� �91J1'L!'J�14 � S- i��t�ii: i�i• siii.riiili i� ❑1� APi�i tt`ARt FI --�— --�}-- I� OWNER STRE - PHONG 897-50Ui Ryat� Hom2s � �' ti 1�l 1 Y � ��' 81 $5 E. 21st -- I��I>>-� Ii�T 9b�`1�3 S �iitlE.' LOCATION 3� t�;oodcl-�ek _. ADDRESS OF CONSTRUCTION � � , FHONE CITI' �a. - A. 71'Pr OF C0ISTKL1CTIrJN ",�X 2. O Resi�iential (One or Two Family) i. CS Residenha! (Or�e or Two Familv) �'��� 3 � Commercial 2 O Residentiai (hiuiti•family) (��.� 4. Q lndustrial 3 O Cemmercial �� 5. O Other (Specify) ---_-- 4 p li�dustrial E. PROPOSED USE: OF PROF'ERTI' �i. Q lnstitutionr.l i Q One c3t��ll Family I)welling B Tl'�E OF SEl1�AGE CiSPOSAL �a,� 2. C7 i�iuiu-tamiiy 1 Fub;ic (Name o{ System __L�f�`''� �-------) �. Q Commerciai 2. Q Pri!�ate (�ptic Tank. et:.) _ 4 O lndustrial Y 5. p Other �Sepcify)----------------- �. TYPF. OF l�SPROVErtENT � 1. Q Neu� Structwe '`L F. Z,ONING CL_ASSIFICATiON Q'= PROPER�'1' 2. O Conunercial 1_enaiiY��pacc �t � � Present _- -- --- -- _ _-- --- S _ __ - 3. O Addiiion Porch. �__ -H�t»� a— G. EST1P•1ATE COS"f Oi' CO�STRUC110h 4 O A�model � - � `o . �=� .�_ _� y� 5_ (Excluding Land Value)—_�-�5j � ��_ -- - 5. � Fourdation Only �y �� c_ <.,> d� 6. G` �emclirc ; �;-� _�- ��, `U H. Lot Split Yes--------- N°-__ X- . � - .c Y 7. C'� Accesscn> Building C� �' y_\'� `;:�':±. I. Flood "Lones 1'es - �o b O 5wimminC i-ool �,_-- -' '- q B. i-. 9. Q Garage Dztached__-- --G-AF�che�,_'•y-�r�� J. Sump Pump: Ye; X_ No ,, . : - D. PRESEIT LSE �F PROPcRT1' C- �� " `� �' K. Geothermal Heat Pump- `(es No � 1 �i' b�i'���acant O� � ` � The undersigr.ed acrees tha� any corstructi�. recensin�ction. en3argem2nt, relocation or �Iteration of s[ructure, or any change in the use of land or �trut;u, es reauested b�• t51i� applic�ion u�iil comp!y u�ith. and comform to. all applicau!e la���s of the State af I�diana, and the "Zoning Ordinance ef Carmc��,Indiaea • 1°80". adoptec under the authorit�� of Acts of 1979, Fublic La��� 178 Sec 1 ei seq, General As_emb�y of the State o'f Indiana, and zll Acc� amendaton� ihereto. 1 further certin� that tne consir�ciio�� w311 not bQ used or occupied until a ceriiticate of occupancy has been issued by the Departnent of Communig• Develcpn:ent. Carmel. ;ndSana ---. I turther certif�� that or,l�� kitchen, bain, iaund�}� and ilco� Insazctiens Nezded: raina draSns re �onr �ted to sanitary s2wer. -- —�� � Footin /Under Slab T, mp e-- �i^i e Ai O� e� r" t * d rlc, nt � --- - --- ---- `9��� t. "��Si' '�aS'����� � erBa ---- - ------ -------- A r��c — — ----- �°napls 3h 46219 897-5001 t . C/ - __ ------ - - � -- --- -- - C�ri. State Zip Phone Square Faotage � eo Permit (Sq. Footage) ............ ��o� - �etti�er�a ayi Al�tecj.>> 9��—rG�e__ Insnections . . . . . . . . . . . . . . . . . . _-_�- - - L�/�� Certificate of Occupanq�. . . _ �, - � �� � v t Tetal . . . . . . . . . . . . . . . . -/i.$rW D�re or a.. en� ���� 4'�� r �\ ; r Plan �.omm Approved (Date) -- - � � -- -- - - Board of Zonirg Appeals �/� Rece��ec B� ,4pproval (Datel �� _ . Lv � � � . .- �� ` �.� r�.- , ✓l =- `� C� ' ` /, ��� � ,. f , ' : 0 �, - - � �; % � � t_ ` � . ; �'� � , \' :` � ; �� � . � , ,,. _ -� 4. /, .,'� i_ ,:\ �� ;