HomeMy WebLinkAboutPermitt)FFICE USE bPlLY
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Please complete form and email to =�, � �-• <,.;;w;•:. as an attachment.
{� you ha�e any questions, please cal4 Buaiding & Code Services at (31i') 571-244�.
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This permit is �a[id only if constructlan eammences with�rs 1 BO days of the date nf fssuar�ce af this permit and must be cumpleted, having the
Certificate af Oaos�pancy issueci, with9n 18 months af the date of iss�aRce. Class f Steuctura Permits are suhje�.t to the State of lndiana G�nera!
Admin4strative Seufes (GAR s75 {AG 12) ragardin9 exp9ration tima frames tor beginning and caTnPEet�ng C°nstruction.
i, E!}e undersigr�ed, a9ree that any constr�ciion, recnnstnaction, enlarc�ement, relacation, or alteratinn oT a struciure, ar :any change in the use pf lanci or steuctures
requestad by this applicati�n will cQmpky with and canfarm to all applicable laws of the State of lndiana and the Carrnel L7niFed De�eloprnerst Ordinance �Z-625-i 7) and
B thRa d�floor d ai�ns are cnnnected ka�he san ary sewer.� furthere=rtify�tha# th C9135��i1GGOil W l nat bEauisedio aoccupaed uni I�a Cerlt ficate of Oc upancy S�as}bees�
issueci bY the Depariment of Community Services, Carmel, lndiana.
fs true and ac�� raie to tf�e i�est of my &� owl�� ge and batiei� d ih t I�have� noY �Cnawingiytor intentinnaHyfpaov ded€o romEt#ed a�y nrormatittn th t e+vauld�
tand to hide�cure, or ot�wise �ea the Dept. of Commanity Services regarding th� truth of the �na€#ers arldressed.
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,�aa���s Gary@hendrickpoo .com