HomeMy WebLinkAboutApplication„ev. 1-1-61 Sheet 1 of 2 sheets
"A Form (To be Filed in Duplicate) Date /o/L1
LC Form
APPLICATION FOR IMPROVEMENT LOCATION PERMIT AND CERTIFICATE OF
OCCUPANCY
t'o. T9/-'762_
Date filed IbLlll7z
--r
The undersigned agrees that any construction, reconstruction, en-
largement, relocation or alteration of structure, or any change in the
11se of land or structures requested by this application will comply with,
end conform to, all applicable laws of the State of Indiana, and the
"Zoning Ordinance of Cartmel, Indiana-1961,” adopted under the authority
of Chanter 174 of the Acts of 1947, General Assembly of the Stye of
Tindiana, and all Acts amendatory thereto.
I 1ne of Applicant PN/G JO,J�s I-Q6 S Phone No.gS/ �
A ress of Applicant P-6 Roe/:9g --
*'ame of Owner � _—Phone No.� _
�9C
Address of Owner
Location of Property. Lot No $ % Add'tion
Street No. Or other/ description of looation
///// ;7/g►iFQS7"1C K
Present Use oi' Yroperry_
Proposed Use of Property
Zoning Classification of
W0604g1JD `ygc-
NOTE: Application for an Improvement Location Permit must be Accompanied by
two blueprints of a plot plan of the property drawn to scale, and showing
location of any existing structures or proposed structures together with
=1 detailed written explanation of the proposed Improvements, and other In-
formation as may be required.
SIGN ��GLasv�e�L3i^c-� L
Owner ent
A Permit Fee of $ / / st accompany this application g
Permit Fee received by
AW . s C/
ONER
Cap ni, 2
CI,t.`t YOWNSHIP
HAMILTON COUNTY