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19060191 Receipt
CITY OF CARMEL 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: nmishler COPY # : 1 ________________________________________________________________________________ Sec: Twp: Rng: Sub: Blk: Lot: PARCEL ID ........: 1714040000018001 DATE ISSUED.......: 07/01/2019 RECEIPT #.........: BC000017951 REFERENCE ID # ...: 19060191 SITE ADDRESS .....: 10851 HAZEL DELL PKWY - CELL T SUBDIVISION ......: CITY .............: CARMEL IMPACT AREA ......: OWNER ............: MARTIN MARIETTA MATERIALS, INC ADDRESS ..........: 11405 N PENNSYLVANIA ST #250 CITY/STATE/ZIP ...: CARMEL, IN 46082 RECEIVED FROM ....: CROWN CASTLE CONTRACTOR .......: CROWN CASTLE LIC # CROWCASTL COMPANY ..........: CROWN CASTLE ADDRESS ..........: 9045 RIVER RD #425 CITY/STATE/ZIP ...: INDIANAPOLIS, IN 46240 TELEPHONE ........: (317) 249-2028 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- CIIC/O FLAT RATE 1.00 144.00 0.00 144.00 0.00 CIINAA SQUARE FEET 5.00 532.10 0.00 532.10 0.00 ICIIFINAL PER INSPECTIO 1.00 133.00 0.00 133.00 0.00 ---------- ---------- ---------- ---------- TOTAL PERMIT : 809.10 0.00 809.10 0.00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 809.10 2507175 --------------- TOTAL RECEIPT : 809.10