HomeMy WebLinkAboutApplication & COSheet 1 of 2 sheets
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The undersicmed a 'reel that any co:nstructior, reconstruction, er--
•`e;: relocation or alter�.tio of - t t aT h—i
J.Z ('Yi , ',+ . 1rlAl ure, or a. ✓ c ...�- n t.^.e
i,.se of land. or structures re'iuested by this application will cor:ply with,
r--nd conform to, all applicable la -1,;s o the State of Indiana, and- the
"tonin:-• Ordinance of Carmel, Indiana -1961 , " adopted under the authority
of Chapter 174 of the Acts of !947, General Assembly of the State of
Indiana, and all Acts amendatory thereto.
of Applicant Phone No.
Address of Applicant
Name of Owner Ph,)ne Mo.
Address of owner
aJ
Location of Property, Lot Mo. y7 i dition
Street No. or other description of location
Present Use of Property /- e. 7
Proposed Use of Property_ i2tr-s� o
Zoning Cl=assification of Property_
`�n'?'F: Application for an Improveme:^t Loct-ttion Permit must be Accom.onnied by
tr;o blueprints of a plot plan of the prO; r:rty dravin to sc�lle, -end shotvin`
location of any existin?' structures or _proposed structures together with
detailed written explanation of the proposed Improvements, and other in-
formation as may be required.
I G \TED -
Avner Agen
A Permit Fee of � ;tiV crust acco:r.oany this application.
Permit Fee received byw2? 6 •
BUILDING COMMISSIfI(` IR
Ti ;le
J(v
APPR2ftVED
BUILDINC COMMISSIONER
CLAY 'TOWNSHIP
° HAMILTON COUNTY