HomeMy WebLinkAboutConsent to Encroach AgreementCrrv op Cannanl
DgpaRTMENT OT. ENCINEERING
APPLICATION
CONSENT TO ENCROACH AGREE,MENT
Furr Name(s) of Property owner(s): Lt f RY tn fX rcK (i U) i{ tV t tt/ t
propertyAddress: .3^'/6( /4E,?TAA/ fl//95 ) Cn 'v c
phoneNumber: 3 i 7 ^ G o / - A ict t ( cftt)
Subdivision/Project Lot Number: *5CL 1"1 Lort I
PJease provide a brief staternent as to the action/consent bejng requested;
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We require an Exhibjt be provided to accompany the Agreemenl The drawing should be to scale if possible- lt should
indicate all easements and easement lines and all right-of-way and right-of-way lines. The drawing should show the
encroachment or encroachments and all r!,,zcessary dimensions relating to the encroachment.
g%xtl,Exhibit provided ,.rV *" E
*lf the property is not within a platted subdivision, we will require a copy of the deed for the property or a legal
description of the propefi including the date the deed was recorded, plat cabinet, slide, and instrument number.
Please submit application to:
JARROD HUFF
Dppanrn mNT oF ENcn trgRrNc
ONs Crvrc SeUARE
CaRt'neL,IN 46032
Pho ne : (317 1 57 7-2ML; F ax: (377 1 57 1-2439; E ma i l : j h uff @ca rme l. i n. gov
2077