HomeMy WebLinkAboutApplicationRev. 1-1-61 Sheet l ;of 2 sheets
ZA Form ( To £a 1 i'., 1 a ::u*) -_i
PC Form
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APPLICATION FOR DIPROMENT LOCATION PEWIT AIM CERTIeXATE OF OCCUPANCY
Vol - `J____ r'
Date Filed '<i_. - -1, --- / i i
-The undersigned agrees that any con3truction, reconstruction, enlargement,
relocation or alteration of structure: or any change in the use of land or
structures requested by this, application will comply with, and conform to, all
applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel,
Indiana - 1961," adopted under the authority of Chapter 174 of the Acts of
1947, General Assembly of the State of Indiana, and all acts amendatory thereto.
Name of Applicant L1V 4_6/_ jf1 rI ��� -� < < c_ Phone No. 7 `l V b
Address of Applicant S1 ,3C i[
Name of Owner Phone No.
Address of Gomer �z- -
Location of Property: Lot No.S in ,,T. mac, c7'7_ ;,,C Addition
Street No. or other description of location t 'C
Present Use of Proporty
Proposed Use of Property
Zoning Classification of Property
D70'I* Application for an Improvement Location Permit must be accompanied by
two blueprint:- vE a plot plan of the property drawn to scale, showing
lot lines, dimen,iono, cnocments, utilities, street widths, and showing
location of any oxis;:ia: Ltructures or proposed structures together
with a detaiisd treitt;,n cvplanation of the proposed Improvementa, and
other information an may be required.
SZMD-
(Owner) 7 (!_gent)
A Permit Fee of $_must accompany this application.
Permit fee received by
BUILDING COMMISSIONER
(Title)
10 1
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APPROVED
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to
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BUILDING COMMISSIONER
CLAY TOWNSHIP
HAMILTON COUNTY