HomeMy WebLinkAboutApplicationRev, 1-1-51 Sh-,ct 1 of 2 sheets
7.E. Form ( To SC W; 1-d i:: DupI;-.;.tc ) gat
PC Pcrm
APPLICATIO0 FOR riPX V_7i'_. !T L�;!_m;J'; n.d_,i_i Al, CE .TiFiCATE OF OCCVPId:CY
No, BOG -G7_
Date Filed
The undersignar. a,-r2cs that any �oa;tructi.on, rocoZ�,trLction, enlargement,
relocation or alter tion of ctructure, or my change in ca^ u:e of land or
structures requested by this appli+..-t.;un will ecm-,ly wi':h, and conform to, all
applicable laws of the Si.are of lnl.,':O, end the °Coning Ordinance of Carmel,
Indiana - 1961," adopted tinder the cuthclr:ry of. Chene..r 174 of the Acta of
1947, General Assemb
((ly of the Str_te of L-d:iar:a; and all cote amendatory thereto.
Name of Applicant r i % Phone No. —33
Address of Applicant7Q>'
Name of DomerLone No.
Address of Omar
Location of Property: Lcc ho, _Zi.��%� > Addition
Street Ito, or other de^,cr4:pti6n of loratim
Present Use of Property
Proposed Use of Property G�ecr a.<_
Zoning Classification of Pc.;,:r, ---
1; M* Cpplication for a- Trrsovc:acnt Location 7crmit suet be accompanied by
two bluepri:.ta of a p;.et plat: of the property drat -m to scale, shoving
lot lines, dimar_sion., utilit:cs, street widths, and showing
location of any cx_sL-`ng^_Irrucrurec or p:oposod structures together
with a detailed writu,.n c:co'_anatic:- of the prnposed Improvemonts, and
other i..formation ns +..cy b-_ regcized.
SIGHED: i
_. (Ow,_ -r) — ;. -ant)
00 V
A Permit Pea of $ ;L/ t acco;..�n:.y this npplic^Lion.
Permit "fee received by jfr-afr,.zr_c -
�Tit_e)