HomeMy WebLinkAboutApplicationC.A=,'°tT, CLAY TOWNSHIP
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APPLICATION FOR IMPROVEMENT LOCATION
P -:EMIT AND CERTIFICATE OF OCCUPANCY
Bv i l d e r STREET
NAME
Owner STREET `
Location
1. p Residential (One or two family)
2. ❑ residential (Multi -family)
3. ❑ Commercial
4. 0 Industrial
3. TYPE OF SEWAGE DISPOSAL
1. Ll Public
?. p Private (Septic tank, etc.)
C . TYPE ?F ii'IPROVET"TENT
1. L New structure
2. 0 Addition Porch Room
3. ❑ Remodel
'+. ❑ Foundation only
5. ❑ Demolition
6. ❑ Accessory Euilding
7. p Swimming Pool
8. D Garage Detached Attached
BLDG. Pisi'I' NO. j'�/ % i
7�
DATE ISSUE' ---)j n - �_ t
FEE PAID +� /, /(.-
CONTE. REG.
r
ZONE
1 . ❑ Farm
2. ❑ Residential (One or two family)
3. ❑ Commercial
4. ❑ Industrial
5. ❑ Other -specify
E. PROPOSED USE OF PROPERTY
1. [p One or two family dwelling
2. ❑Multi -family
3. ❑ Commercial
4. p Industrial
5. ❑ Other -specify
F. ZONING CLASSIFICATION OF PROPERTY
Present Proposed
G. ESTIMATE COST OF CONSTR. NOT IN-
CLUDING LAND VALUE
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 Cgde, the "Zoning Ordinance of Carmel, Indiana -
1961," and amendmentstheetd..';ddopted under the authority of Chapter 174 of the
Acts of 1947, General As_eibly of the?,State of Indiana, and all Acts amendatory
thereto, or private building restrictions, if any, which may be imposed on the
above property by deed:-'
I further certify that no injurious drainage;:of`area or damage to public
property will result frpm this construction and site grading shall conform to
the subdivision developanent plan as approved by tarmel-Clay Plan Commission,
if any.
I further certify that the, construction will not be used or occupied until
proper certificates of completion 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.
Si -nature of Owner or Authorized Agent Address City State Date
11-9-77
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