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HomeMy WebLinkAboutApplicationCARMEL -CLAY TOWNSHIP APPLICATION FOR IMPROVEMENT LOCATION PERMIT AND CERTIFICATE OF OCCUPANCY Bldg. Pmt. No.,( '' Date Issued Fee Paid ��' ��-� � c-��- } C. TYPE OF IMPROVEMENT 1. ❑ New structure 2.9 Addition 3. ❑ Alteration 4. 0 Foundation on only 5. ❑ Demolition 2. Multi -family 3. ❑ Commercial 4. ❑ Industrial 5. ❑ Other -specify G. Estimate Cost Of F. ZONING CLASSIFICATION OF PROPERTY Constr.1 10: 000 Present 5 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 construction. 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. �f f ivy '\rt ' r 3 7& : W 0. RU Signature of Owner or A*,qqA#egiCA_ Address 6 t r> 9/11/74 'HAMILTON COUNTSA A IQ 00 b Zb B u i I d e r Name / G.1WC*1iC�. < AN; , t3 go 6.7 � 7.�_ g A dressPhone Z 3q S° w: c Owner Name Address.3 Phone T ,y q C A-4� � ' Location Lot No . 43 Addition p N � J AU �. Q S f� A dress o construe on el 33(� k 0 6, --�—L'S A. TYPE OF CONSTRUCTION D. PRESENT USE OF PROPERTY 1. Residential (Not multi -family) 1. ❑ Farm 2. Q Commercial 2.12 Residential (Not multi -family) 3. ❑ Sign 3. ❑ Commercial 4. ❑ Accessory bldg. 4. ❑ Industrial 5. ❑ Other -specify B. TYPE OF SEWAGE DISPOSAL E. PROPOSED USE OF PROPERTY 1. ❑ Public 2. WPrivate (Septic tank, etc.) 1. W One or two family dwelling C. TYPE OF IMPROVEMENT 1. ❑ New structure 2.9 Addition 3. ❑ Alteration 4. 0 Foundation on only 5. ❑ Demolition 2. Multi -family 3. ❑ Commercial 4. ❑ Industrial 5. ❑ Other -specify G. Estimate Cost Of F. ZONING CLASSIFICATION OF PROPERTY Constr.1 10: 000 Present 5 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 construction. 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. �f f ivy '\rt ' r 3 7& : W 0. RU Signature of Owner or A*,qqA#egiCA_ Address 6 t r> 9/11/74 'HAMILTON COUNTSA A IQ 00 b Zb