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i Asued 7 ' 74
r e e i'aid_ �J
B u 1 Ider[.M,7,—e4,7, Co. -1 -7
Phone
«-_ F e
.name
ur,re_Owner r, rjess
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Locat i on � ��a SS � �n ruco -t �
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Reridential (Not multi-family)
--am}�mercial
"YPE OF SEWAGE DISPOSAL
Public
2. Private (Septic tank, etc.)
1. Nett structure
2, Addition
3. Alteration F. ZONING CLASSIFICATION OF PROPERTY
4, Q Foundation only G. Estimate Cost Of
5. Q Demolition Constr.J-712(V0 Present 2-- Proposed
D. PRESE1TI USE OF PROPERTY
". ❑ Farm
2.� Residential (Not multi -family)
3. Commercial
4. ❑ industrial
5. ❑ Other -specify
E. PROPOSED USE OF PROPERTY
1. ❑ One or two family dwelling
2. [] Multi -family
3. ❑ Commercial
4. [] Industrial
5. ❑ Other -specify PCS, l
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 Code, the"Zoning Ordinance of Carmel, Indiana - 19610" adopted under the Futhority
of Chapter 175 of the Acts of 1947, General Assembly of the State of Indiana, and all Acts
:amendatory thereto, or private building restrictions, if any, which may be imposed on the
-Ibove property by deed.
I, further certify that no injurious drainage of area or damage to public property will
result from this construction.
I. further certifyy that the construction will not be used or occupied until proper
ertificatss of caMpletion and compliance are filed with the Building Commissioner's office,
Carmel, Indiana.
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