HomeMy WebLinkAboutApplication & CORev. 1-1-61 Sheet 1 of 2 sheets
ZA Form (To be Filed in Duplicate) mate
PC Form
APPLICATION FOR IMPRoyEi,,i?dT LOC �T`Q)X PERi":IT A:!D CERTIFICATE OP
OCCUP;INCX
,%To. 3365_ -62
Date filed Zus I a-/ 9/. �?
The undersigned agrees that any construction, reconstruction, en-
largement, relocation or alteration of structure, or any change in the
use of land or structures requested by this application will comply with,
and conform to, all applicable laws of the State of Indiana, and the
"Zoning Ordinance of Carmel, Indiana -1961,11 adopted under the authority
of Chapter 174 of the Acts of 1947, General Assembly of the State of
Indiana, and all Acts amendatory thereto.
Name of Applicant
Address of Applicant
Name of Owner
Address of Owner
Phone
Phone No.
Location of Property. Lot No. Addition�„„�
Street No. pr other description of location
Present Use of Property I -o T
Proposed Use of Property ,?�Si;n
Zoning. Classification of Property 2 <
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
a, detailed written explanation of the proposed Improvements, and other in-
formation as may be required.
SIGNED:
ct..r
Ener
Agent
113-
A Permit Fee of `jl_f f must accompany this application.
Permit Fee received byr �.
UUILUIIVIi COMMISSIONER
it �, Title
r
kECE�I+,rEQ �,
AP
NUG 28 969PROVED
Of;ice of it;;;;;g cJ BUILDING COMMISSIONER
Corajel, Ind.
CLAY TOWNSHIP
Carmel, Ind, �+p
HAMILTON COUNTY