HomeMy WebLinkAboutImprovement Location PermitCarse 1 -Clay
Township
BUILDER
OWNER
LOCATION
(� ( r�•ew�te4�} Permit No. 1%- -i
t111j�7�1�!?melt� Yvn *TP7m:l Date
STREET'
s 7-WAKE
LOT UA. A ITION
orf ti
ADDRESS Of 00111 UCTIi
A. TYP Of onsrRUCTIOM
I. Residential (One or Two Faulty)
2.0 Residential (Multi -family)
3.0 Commercial
•
4. 01 Industrial •
•
E. TV OF SrAhm DISPOSAL
1. Pub Iit
I
PRESENT vst OF PROPU
1.0 Fars
2./Residential (One or Two Family)
3.0 Commercial
4.0 Industrial
5.0 other (specify)
22
ZIt!
ZIP
.-A-W
hlwate (Septic Tank, etc.) 41be F9%% am Yes ur rNOWIMiT
C. TYPE Of IllNKf9p ! 1. One or 'llro Family Dwelling
1.0New Structuro 2.0 Multi -family
1. J Addittoa porch -L Room_ 3. O Commercial
3.0 Remodel 4.0 Industrial
4.0 roundst Joe only 5.0 Other (specify)
5.0 Demolition F. ZONING CLASInCAnON OF P%MXTY
6.0 Accessory bu i i d i ng Present 't1% 2, Proposed
7.0 Swimming pool
8.0 Garage Detached__ Attach C. BSTINAT! COST OF CONSMCTION
(Excluding Land Value)
The undersigned agrees that any construction. reconstruction, enlargement. relocation or alter-
ation of structure, or any change in the use of land or structures requested by this application
will comply with, and conform to, all applicable laws of the State of Indiana. and the "Zoning
Ordinance of Carnal. Indiana - 19W, adopted under the authority of Acts of 1979. Public Law
178 Sec. I et seq. General Assembly of the State of Indiana. and all Acts amendatory thereto.
I further certify that the construction wjll not be used or occupied until proper certificates
of completion and compl1ance are filed with the building Comstssioner's Office. Cars&!, Indiana.
I further certify that only kitchen. bath. laundry and floor drains are connected to sanitary
aewe r . hU .
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Si re of e
Signs r or Authorized Address v
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y� Squnre Footage
building . . . . . . . . . .;j `
DI� 4 L/
or 038MM Certificate of Occupancy `J
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t t t TO t 4A .
Received by .
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