HomeMy WebLinkAbout0 Tall Timber Run\1y V CAR,y
Permit Number
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City of Carmel - Fence Permit Applicati%LEASED FOR CONSTRUCTION
Department of community Service Subject to compliance with all regulations
Building and Code Services of State and Local Codes
One Civic Square, Carmel IN 46032 DEPT OF COMMUNITY SERVICES
Phone: 317-571-2444 CITY OF CARMEL / CLAY TOWNSHIP
INDIANA
Properttyy Owner Information:
Name: - C(3,.k_(• l Q_ �r�aU3 "Qt1
Address
Phone: --7>0 - 32o-)f' Email: Q rY\%J
Contractor Information:
Name:
Address:
Phone: ��� -�� 7J " i'��3 Email: Rf-LkA tirYl i l� U comrosk , C�2
Property Location:
Interior Lot Corner Lot
Fence Location and Type:
Residential Commercial Construction
/ Fence Height and Material to be used:
Material: l9 Wood ❑ Vinyl ❑ other
Height l 0 " 4 3�
Application Submittal Requirements
A completed Application form
A site plan showing the location of the fence
A signed and notarized Waiver of Liability (when placing fence in easement)
$28.00 Waiver of Liability recording fee (if applicable)
$51.00 Application Fee (fee exempt if replacing old fence with new)
Submit to Carmel Building and Code Services, attn: akoch@carmel.in.gov
City of Carmel - Fence? Permit Application page 2
The undersigned affirms that the snforrttati". included to tf4s Application is crifreci arrd acknowledges a float
Inspection Is required and does hereby zuthoriw City Staff permission to rnake site Insppriions as ma;j be
nacessaryr. Further, if, the Appil"tion is appf-CVed, the Ladersigoed will cornpiy with all the requirpments nt the
City of Carmel llndfled Nvelopment Ordinairce and certifies that rtw measures prnpowd to mitlgate alverst
Impact will be carnpieted In a tim¢ty fashion. III* contractorjpropem gwtwr is rrawonitble for pror &ty lotattng
the property lines, lixating pins or suryeY+ng ptnpery . Also, the Contractarf property owner is rejponsibf�- tat
crsntacting IndianagUt to locate onderground utlifties, and for scheduling the required final.insptpctioct.
Sigrrptu►a: �.,c'� ��,�r u��'?��,r1,;�� 'f r���,�''� Dafr: �, �� ._..._._.._._._._._____.
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OFFICE USE ONLY:
overlap Zone._...—..a.....e._..—
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