HomeMy WebLinkAboutApplicationCARM'L-CLAM TOWNSHIP
APPLICATION FOR IMPROVEMENT LOCATION
PERMIT AND CERTIFICATE OF OCCUPANCY
Name
Builder A re
Name
Owner Address
Lot No. / T
LocationAddress o cons ruc
A. TYPE OF
CONSTRUCTION
1. I -Residential (Not multi -family)
2. ❑ Commercial
3. ❑ Sign
4. ❑ Accessory bldg.
B. TYPE OF SEWAGE DISPOSAL
1. ffJ-1<blic
2. ❑ Private (Septic tank, etc.)
C. TYPE OF (IMPROVEMENT
1. 9—Ifew structure
2. ❑ Addition
3. ❑ Alteration
4. 0 Foundation only
5. ❑ Demolition
__`c g, lint. No. 5n 7` 76
Da�e Issued
Fee Paid A s a 8
Phone
D. PRESENT USE OF PROPERTY
1. ❑ F m
2. tesidenti.al (Not multi -family)
3. ❑ Commercial
4. ❑ Industrial
5. ❑ Other -specify_
E. PROPOSED USE OF PROPERTY
1. ne or two family dwelling
2. ❑ Multi -family
3. ❑ Commercial
4. ❑ Industrial
5. ❑ Other -specify
G. Estimate Cost Of F. ZONING CLASSIFICATION OF PROPERTY
Constr. �Qp�-ei�L Present 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 - 1961,11 adopted under the authority
of Chapter 175 of the Acts of 1947, General Assembly of the State of Indiana, 11 11 Acts
amendatory thereto, or private building restriction s �}ny, which may be`;ilg the
above property by deed. t t ,_ ^�
l 4•.
I, further certify that no injurious drainage ofo dai4age--to publi yMWty will
result from this construction. a
I, further certify that the construction will not be uSEd'or occupied until proper
certificates of completion and compliance are filed ATAner's Office,
Carmel, Indiana.
9/61/74
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