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CARMEL-CLAY TOWNSHIP
APPLICATION FOR IMPROVEMENT LOCATION
PERMIT AND CERTIFICATE OF OCCUPANCY
BLDG. PMT. NO. /,� ;3-- 62
DATE ISSUED lv `a73 -8'O
FEE PAID` /� ,� OBJ
CONTR . PEG. #
NAM PMEE
Builder _ 0', _ 7- 4/
IT ZI
NAM PHONE
STREETOwner CITY STATE ZIP
l'Lv/�// 4
i LOT N0. ADDITION SECTION
Locat on
ffKESS OF CONSTRUCTION
')- Z c) /3LV z,� n t- i
n. 1 LL l VL' VV1V►)1.11UV11VLV L. L 1U.:LUli1V1 UJLr Ur rnVrrn1 Z
1. P -Residential (One or two family) 1. ❑ Farm
2. p Residential (Multi -family) 2. ❑ Residential (One or two family)
3-0 Commercial 3. ❑ Commercial
4. E] Industrial 4. ❑ Industrial
B. TYPE OF SEWAGE DISPOSAL 5. ❑ Other -specify
1. 0 -public E. PROPOSED USE OF PROPERTY
2. Q Private (Septic tank, etc.) 1. p One or two family dwelling
IMPROVEMENTC. TYPE OF 2. ❑ Multi -family
1. ❑ New structure 3. ❑ Commercial
2. P"kddition Porch Room 4. ❑ Industrial
3. []Remodel 5. p Other -specify
4. ❑ Foundation only F. ZONING CLASSIFICATION OF PROPERTY
5. ❑ Demolition
6. 17 Accessory Building Present Proposed
7. p Swimming Pool G. ESTIMATE COST OF CON R. NOT IN -
8. D Garage Detached Attached CLUDING LAND VALUE_ 6i2 e)° __111
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 the "Zoning Ordinance of Carmel, Indiana
1961,11 and amendments t e'� 2 ted under the authority of Cha�pter�,'17'P ►Mhe
Acts of 1947, General Y# o State of Indi t�t�. -`andi al Acts, end
thereto, or private bpi din 'resr ions, if any , wf�`,�ay'�'b'"imp: d'�.a fey
above property by deed o�S!,�t,•, �,�,(n r, s, ,t „. Y'�`
I further certify, a ,no inj�li i drainage of area 9VILd ` A �Sa'�vjgc
property will result; _ om6,tthis coj�s ction and site gradin �Q fin to
the subdivision develc� ent plan_la proved by Carmel-C� rssion,
if any. a
I further certify tha ruction will not be used or occupied until
proper certificates of co a P and compliance are filed with the Building
Commissioner's Office, Carmel, Indiana.
I further certify that only kitchen, bath, laundry and floor drains are
connected to sanitary sewer.
11-9-77
WC/1g
re of Owner or Authorized'Agen Address CAW State
P A 1 Q ,JUN 2 3 1980
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