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HomeMy WebLinkAboutBuilding PermitCarmel -Clay - Permit No Township J Date ��fi4f1?�emen� �acc�►%oyt E:¢e2r�zr� NAME ------- --PHONE: - ----- BUILDER STRIt (' CITi , �- STATE ZIP NAME PHONE OWNER STREET' !-- CI ii' STATE ZIP --- _-- 1,0'f NO c� ADDITION---`�—���— SECTION LOCATION ADDRESS OF CONSTRUCTION A. TYPE OF CONSTRUCTION D. PRESENTt:�E OF PROPERTY 1-�A- Residential (One or Two Family) 1.0 Farm 2. 0 Residential (Multi -family) 2.0 Residential (One or Two Family) 3.0 Commercial 3.0 Commercial 4.0 Industrial__ 4.0 Industrial B. TYPE OF SEWAGE DISPOSAL 5.)B( Other (Specify) VJ\0f�iJT_ 1X Public 2.0 Private (Septic Tank, etc.) E. PROED USE OF PROPERTY C. TYPE OF IMPROVEMENT 1. One or Two Family Dwelling 1. New Structure 2. 0 Multi -family 2.0 Addition Porch Room 3. O Commercial 3.0 Remodel 4. O Industrial 4.0 Foundation Only 5. 0 Other (Specify) 5.0 Demolition F. ZONING CLASSIC,ATION OF PROPERTY 6.0 Accessory Building Present � :-1�- Proposed 7.0 Swimming Pool 8.0 Garage Detached Attached G. ESTI T _COST OF CONSTRUCT�O nd Value) S()C>. n The;andersigned agrees that any construction, r str Pf�€y�,. ement, relocatiop or alter- The of structure, or any change in the use of ~ dor''st� re equested by thi applicaCion will comply with, and conform to, all applicabl awF-, f Indiana, and the ''Zoning Ordimance of Carmel, Indiana - 1980", adopted uz'cy Acts of 1979, Public Law 178 Sec.- 1 et seq, General Assembly of the Stat fa(tj `$� d Acts amendatory thereto. I'further certify that the construction will not ed �r o ed until proper certificates of completion and compliance are filed with the Bu aner's Office, Carmel, Indiana. I further certify that only kitchen, bath, laundry and oor drains are connected to sanitary sewer. gnature of Owner or,*kh9,fized Agent Address Phone No. Square Foot 2 a e Building . . . . . .. �Sui�l 'g Commissioner Certificate of Occupancy Total. Received BY a a L�j,c: 1 1'1