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LOCATION 10
A TYPE OFC iSTRi)C7"l? 2. • Residential (On, or Twp, Family)
1. Rtasideniia r Twts Fami':yi �% `��' 3. Q Commercial
3. O Com enmerr�la uhi famr • MAR A Industrial
RECEIVE)) (Specify)
4. Q Industrial e �r�+y (IQtc O Other (S
S. Q Institutional E PROPOSED USE OF PROPERA�
r rJS{� 1- f 49 or Two Family Dwellingl�
B, TYPE OF SEWAGE DISPOSAL C I 2. O Multi famihr
1, A public (Name of S}stemP+ ) 3. Q Commercial
2.O Private (Septic Tank, etc.),5-eLjj, 4. O Industnal
C. TYPE OF IMPROVEMENT �`'t , O Other (Sepcify)
LAO 0 New Structure .• �. F. ZONING CLAS21 ATION OF PROPERTY
2. Q Commercial Tenant Space c'.ti : ;�� Resent _�_..
3. O Addition Porch 1 ------
:'Room .
.,____.«,
4, O Rete G ESTIMATE COST OF CONSTR N
S O Foundation Only. (Excluding Land Value) ��.
11 O t7emalaion
N Lot Split Yes___
7- O Accessory ButldiAg' .
80 Swimming Pool i. Flood Zones Yes No X - 9.0 Garage Detached . Ailached . .. A B C/ r
D. PRESENT USE OF PROPERTY J. Sump Pump Yes v No
1. O Farm/Vacani K. Geothermal Neat Pump Yes No
The undersigned agrees that any constn,c3ion, reconstruction, enlargement, relocation or afteratwn of structurepublicLa-
or airy chnngtt
In the uses (anti or structures requested by this application wiq comply with, and camfartn "e all appirceblc tawof tit State of
Indiana, and the "Zoning Ordinance of Cermet, Indiana - 1490Ii adopted under the authotih of Acts of 147q, 178
Sec 1 et seq, General Auembhy of the State of Indiana, and all Ads amendatonr thereto -
1 further certify that the construction will not be used o: occupied until a certificate of occupancy has been issued K, the
Department of Community Development, Carmel, Indiana.
I furthe c IN* W1,a bath, laundry and floor Inspecitons Needed Drainage
�?a
. sewer.
-/UndetSlabD'ute
zure of O%pred A ext r
/ 0'f Q ]"�>1�1t�Illira civ *L04 ._ ._ t t� (n qcTk�% Base -
Address
��7r""`t c `-- - / N
-- 4052 - f$4 A. -
City State
Zip Phone Sclikare E C+:,tAae
crC ,�� �_i��_
Sauer ('' ity Atlottes ��., _
�j.�r Verm,t (Sq Footage)
/� � .•
19537 Director,
Irimcctiom
t'.' Certificate of Occupancy
Department of C
triunity Development Total
Plan Comm Approved (Darr!
Received By
Dtoatd of Zoning Appeak
Approval (Date)