HomeMy WebLinkAboutApplicationRev. 1-1-61 Sh_ct 1 of 2 sheets
7.A Form To Dc Fit -d in Jep i r.tc
PC Farb
APPLICAT_IO 1 FOR r,;p N'V3R ,u??.' L �:li? " '"? P':: -:_T AI?D CERTIFICATE OF OCCUPMICY
No. your -fj
Datc Filed
!ne undersign,d agraes that any :on3truction- reconctccction, enlargement,
relocation or alteration of ctructurc., or any change in L_R_ use of land or
structures requested by this applir.ntiun will ce; ;ly wi`h, and conform to, all
applicable laws of the Scute of Old t',re :'Lenin„ Crdinance of Carmel,
Indiana. - 1961," adopted ur_dcr th:: nuthorlty o: C,��PLzlr 1714 of the Acts of
1947, General Assemb y of the Stcx Tn� u;r_a and all acts amendatory thereto,
Name of Applicant _ ��Q'NC � �__. Phone No.. Off— 33-33'
_j'lddress of Appli _----_�—.�..—
Name of Dimer _ _ _ _ 1 ai�ne No.
Address of Omer
Location of Property: Lcc lin, _ _ �i.. �idition
Str�ej 110. or othcr Ooscripti(•a of 1.ocUia:
�O7^
Present Use of Property
Proposed Use of Property .. _ _
Zoning Classification of Pr•�; ::rty _—
IOM.'* Application for an im;.ro✓cmo:a Locr.tion ?ermit must be accompanied by
two bluepri_itc of a pct play: of the prop:�rty dravm to scale, shoving
lot lines, dimencion.;., enc:.ncn):c, utilit.es, street widths, and shoving
location of nny exist_ -ng structures or p-oposed structures together
with a detailed uritr_n of the propoccd Improvements, and
other information rs L.ay be regs.ircd.
SIGi�D• f n
A Permit Foo of $ uiw^t accor:,pa_,y this ippli.cntion.
Pcm. it fee received by
. J `"1 ///� i{t� jl j K �_ �y}� Jam•.- '.W � '`�' R�
\ , ! %- 1 BUILDING CUPdi?i.� _J N�;iI
HAMILTON COUNTY