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Improvement Location Permit Permit No.5�7-�5
n P Date i— /7-P:
This permwithin 120 days of issuance date; all construction is completed (c/o issued) within
(2) two years of issuance date unless arr extensiono` tifii0'11as beemoffieially_gr rited,b lleetter by the Director, Department of
Community Development.
l BUILDER 1c - p4 -t5- r
STREET CITY STATE ZIP
Loo CXR.rn (St,_ w 4 0`3 2
N4ME PHONE
OWNERes? I ' M��1 ��16c _ �c4o
ST�!f15u:I GW r- C -W /^rO�IS STATE ZIP
S Fb� ADDITION SECTION
LOCATION
ADf,� SSOF C NSTRUCTIIQQ�N�
OTC zip w lay C/ I ^J 14�,Ol z
A. TYPE OF CONSTRUCTION D. PRE ENT USE OF PROPERTY
l:residential (One or Two Family) 1Farm/Vacant
2. Q esidential (Multi-family)2: Q Residential (One or Two Family)
3. Q Commercial `> 3.O _'Comrnercial
4. Q Industrial , t' 4 Q Industrial
5. Q Institutional 5. Q Other (Specify)
B. TYPE OF SEWAGE DISPOSAL `' t` E. PROPOSED USE OF PROPERTY
1. Q Public ' i49 One or Two Family Dwelling
2.M( Private (Septic Tank, etc.) )' `t c* .� 2. Multi -family
C. TYkOFIMPROVEMENT ' ��' j rq, 3.0 Commercial
1. New Structure` 4. Q Industrial
2.0 Addition Porc � � � Ro ii ��.
`;'' 5.0 Other (Sepcify)
3.0 Remodel h-�-` - > `' F. ZONING CLASSIFICATIOhj OF PROPERTY
4.0 Foundation Onl}T%� Present
5.0 Demolition s`'�; �v`��' G. ESTIMATE COST OF CONSTRUCTION
6.0 AccessoryBuildi(Excluding Land Value)—r- ®��CI7.0 Swimming Pool
—
8.0 Garage Detached Attached H. Lot Split Yes No_.iX—
The undersigned agrees that any construction, reconstruction, enlargement, relocation or alteration of structure, or any change
in the use of land or structures requested by this application will comply with, and comform to, all applicable laws of the State of
Indiana, -and the "Zoning Ordinance of Cannel, Indiana -1980", adopted under the authority of Acts of 1979, Public Law 178
Sec. 1 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto.
I further certify that the construction will not be used or occupied until a certificate of occupancy has been issued by the
Department of Community Development, Carmel, Indiana.
I fu her certify that only tchen, bath, lau ry and floor drains are connected to sanitary sewer.
,� Inspections Needed:
S gnature of -Owner or Authorized Agent Footing/Under Slab Temp Pole
Address Rough In Meter Base
City State Zip Phone Final C/O
Flood Zones: Yes____
es No
A. B. C.'� Square Footage 3 �G
Sump Pump: Yes No_z Permit (Sq. Footage) ............rm I t Puraw Yes No In .....................
Cemeccaato of
Occupancy......... /3. opo
Total .......................... _ /0J, 3S-
Directo epa nt of Community Development Plan Comm. Approved (Date)
Board of Zoning Appeals
Received By ApprovalDate �r�
Approval(Date A � D Jul � s, '..n----