HomeMy WebLinkAboutApplication 2CARMEL -CLAY TOWNSHIP
APPLICATION FOR IMPROVEMENT LOCATION
PERMIT AND CERTIFICATE OF OCCUPANCY
Bldg. Pmt. No. L 41 „- Jj
Date Issued /pp'— 26
Fee Paid
B u i I d e
Name to l
r
A ress
Phone
Name
Owner
ddress
Phone
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Local i® n
Lot No. Addition
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l/�.Oo�tFl�/ii 5
Address of cons c ion
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A. TYPE OF, CONSTRUCTION
1. EKesidential (Not multi -family)
2. ❑ Commercial
3. ❑ Sign
4. ❑ Accessory bldg.
B. TYPE OF SEWAGE DISPOSAL
1. []/flublic
2. ❑ Private (Septic tank, etc.)
C. TYPE OF IMPROVEMENT
1. Q,4ew structure
2. ❑ Addition
3. ❑ Alteration
4. ❑ Foundation only
5. ❑ Demolition
D. PRESENT USE OF PROPERTY
1. ❑� F� rm
2. CYResidential (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. ❑ Commercial
4. ❑ Industrial
5. ❑ Other -specify
F. ZONING CLASSIFICATION OF PROPERTY
Present Proposed
I hereby certify that I have 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," adopted under the authority
of Chapter 175 of the Acts of 1947, General Assembly of the State of Indiana, and all Acts
amendatory thereto, or private building restrictions, if any, which may be imposed on the
above property by deed.
I, further certify that no injurious drainage of area or damage to public property will
result from this constructions
I, further certify that the construction will not be used or occupied until proper
certificates of completion and compliance are filed with the Building Commissioner's Office,
Carmel, Indiana.
SiKna ure of—owner or Authorized Aeen
e