HomeMy WebLinkAboutApplicationCARMEL -CLAY TOWNSHIP
APPLICATION FOR IMPROVEMENT LOCATION
PERMIT AND CERTIFICATE OF OCCUPANCY
Bvilder . ,,•�
Owner
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Locate on
nr�r�nr, oo ni
BLDG. PMT. NO. SLY `J- 7 �
DATE ISSUED 9-2Z-77
FEE PAID C-!�(] . S -L
CONTR. REG. #
U I
TY - STATE
1._M"Residential (One or two
family) 1. ❑ Farm
2'. ❑ Residential (Multi -family)
2.--Wesidential (One or two family)
3. ❑ Commercial.
3• ❑ Commercial
4. E] Industrial
4. ❑ Industrial
B. TYPE.OF SEWAGE DISPOSAL
5. ❑ Other -specify
1..-g Public
2. Private (Septic tank, etc.)
E. PR POSED USE OF PROPERTY
1. Ze
or two family dwelling
C. TYPE OF IMPROVEMENT
2. ❑ Multi -family
1. structure
3• p Commercial
2: [ Addition Porch Room
4. ❑ Industrial
3. CJ Remodel —
— 5. ❑ Other -specify
4. ❑ Foundation only
5. L1 Demolition
F. ZONING CLASSIFICATION OF PROPERTY
6. p Accessory Building
Present Proposed
7. p Swimming Pool
8. Q Garage Detached Attached
G. ESTIMATE COST OF CONSTR. NOT IN -
CLUDING LAND VALUE
I hereby certify that I have
the authority to make the forego=ng application,
that the application is correct,
and that the construction will conform to the
regulations in the Buildin
the "Zoning Ordinance of Carmel, Indiana -
1961," and amendments th
ed under the authority of Chapter 174 of the
Acts of 1947, General A $o `State of Indiana, and all Acts amendatory .
thereto, or private bu' in
is ons, if any, which may be imposed on -the
above property by dee AUG v'r i� g F,03 CON .- 'lUCi�1N
I further certify t MQ 1.njur:io
90'drainage�vrt�n},tdam,i<r j;Q .uj�,ic
property will result zs
the subdivision develo t ari
cori tion and s{? q,, radiq snatll fybrform to
as roved b Carta
pi.
�P 'fQ.; fission
Y aye ,
if any.
I further certify tha
uction will not ,,; , ju§ ,o, ;;zQied until
occ,
proper certificates of comp
and compliance are l e with the Building
Commissioner's Office, Carmel,
Indiana.
I further certify that only
kitchen, bath, laundry and floor drains are
connecte/d� to sanitary sewer.
.0
Signature of Owner or Authorized
Agent Address City State Date
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