HomeMy WebLinkAboutApplicationCARMEL -CLAY TOWNSHIP
APPLICATION FOR IMPROVEMENT LOCATION
PERMIT AND CERTIFICATE OF OCCUPANCY
BLDG. PMT. NO, c
DATE ISSUED - C'
FEE PAID'
CONTR. PEG. #
Byolder ...� ;No,�IHS 6v
STREET
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C. N/t'rNt� C STATE
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Owner�;A-iuq/I/"L) 8_U-S?91
STREET CITYSTATE P
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Lccati On LOT N0. /1 ADDITION SECTION
KDDKESS OF CONSTRUCTION
A. a u VL' VV1YU 1llVV11V1Y
1. Residential (One or two family)
2. ❑ Residential (Multi -family)
3. ❑ Commercial
4. p Industrial
B. TYPE OF SEWTGE DISPOSAL
1. O Public
2. 10 Private (Septic tank, etc.)
C. TYPE OF IMPROVE NT
1. ❑ New structure
2. O Addition Porch Room
3. ❑ Remodel
4. ❑ Foundation only
5. l7 Demolition
6. ❑ Accessory Building
7. p Swimming Pool
8. W Garage Detached�Attached)�_
• +. VUL VL' a I\VL 1:L1\11
1. ❑ Farm
2. M Residential (One or two family)
3. ❑ Commercial
4. []Industrial
5• D Other -specify
E. PROPOSED USE OF PROPERTY
1. 930ne or two family dwelling
2. ❑ Multi -family
3. p Commercial
4. ❑ Industrial
5. p Other -specify
F. ZONING CLASSIFICATION OF PROPERTY
Present- Proposed
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 ti.e Building Code, the "Zoning Ordinance of Carmel,,Indiana -
1961," and amendments thereto, adopted under the authority ofd 1174 of the
Acts of 1947, General .Assembly ,of ythe State of Indiana, and, $ ' Atte_ At��datory
thereto, or private building'rt?stricti'or�s�," cif any, which m�(y`be i' ii'ose the
above property by deed:
I further certify'that no injurious drainage of area o amage to pub
property will result from this construction and site gradin shall confor'+ Ito
the subdivision developmentplan as approved by Carmel-Claj% flan Commissp,
if any.
I further certify that the construction will not be used'cfr,',o x %;until
proper certificates of completion and compliance are filed with -t Building
Commissioner's Office, Carmel, Indiana.
I further certify that only kitchen, bath, laundry and floor drains are
connected to sanitary sewer.
Signature of Owner or Authoriz
11-9-77
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6-1,iioCC
City
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to Date