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CARYLF L-C:: _; _ TOWNSHIP APPLICATION FOR !MPR •' ,21ENT LOCATION PERMIT AND CERT1FI.CATE OF OCCUPANCY W I'll ti 11 ie /, ame Fee Paid' 'hone Address. Phone Loc No. / / Addition -- - `�` - ---- -- Addres's of construction A. TYPE OF C0I4STRtiCTTON 1. C Residential (Not. multi -family) 2. Commercial 3. ❑ Sign 4. ❑ Accessory bldg. P. TYPE OF SEWAGE DISPOSAL 1, Q Public 2, ❑ Private (Septic tank, etc.) C . TYPE OF IMPROVEMENT 1 • © New structure 2. ❑ Addition 3. ❑ Alteration 4. ❑ Foundation only 5. ❑ Demolition D. PRESENT USE OF PROPERTY 1. ❑ Farm 2. Residential (Not multi -family) 3. Commercial 4. ❑ Industrial 5. ❑ Other -specify E. PROPOSED USE OF PROPERTY 1.{� One or two family dwelling 2. ❑ Multi -family 3. Q Commercial 4. ❑ Industrial 5. ❑ Other -specify G. Estimate Cost Of F. ZONING CLASSIFICATION OF PROPERTY Constr. �a, ono Present ( Proposed I hereby certify that I halve the authority to make the foregoing application, that the application is correct, and that the construction will conform to the regulations in the Building Code, the. -"Zoning Ordinance of Carmel, Indiana - 1961,11 adopted under the authority of Chapter 175;0 i� ` ,gets of 1947, General Assembly of the State of Indiana, and all Acts amendatoryA :et0, o /p��vate building restrictions, if -any, which may be imposed orl e above proy6rty by deed.-,( I, fur�tyer-certify tha - o injurious drainage of area or dao.age,.to public property will result ro n this construg B*UI).,I. I, fu ier cert-Uy t2i-� e construction will not be used o occupied `until proper certificdt0, of completi�,h4 d compliance are -_haled. V�ith ther�}u3,�ling Comulissignei'!s Office, Carmel., IN�U' a. 14122 Signa ure of Owner or Au qr`� ized Agent',Address a e 9/11/74