HomeMy WebLinkAboutImprovement Permit & COAftweled to slow bowd at
MR, Imm of
titttrK Permit No.
IMPROVEMENT LOCATION PERMIT "t� =�-
11'R it)'t.RL ARF A
77th is to crttifi that
lame of Applicant
of
Address -- -- has qualified to
ICied d of
—
_ccNhtt acted on land here described
Lots, ^cffvs. VewriPtion of Land
attd lempt is acknowledged of fees as folio%.%: - -
Authotieed under Indiana acts of March 12. 1935. AP
p
MWF''" Issued you R
subject to all total building restrictions as shown in O
Your abstract or pure hase a VED
Variance BJILDING COMMISSIONER
Buildin
C/cot�mia;ooer CLAY TOWNSHIP
v4' J �Q Electrical— RAMI TnnT
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n �T Plumbing
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Final
Total
7ev. 1-1-61
n Duplicate) Let 1 of 2 sheets
Form (To be Piled i
PC Form
APPLICATION FOR IKPROVLXFNT LO"A-ZO;ti P"RMIT AN e'Er'T.PT�"
OCCU?.IxcV.
Pio • _, 1 — 6 9 -
Date filed sz:' ,...�= /1-19! 9
The undersigned agrees that any construction, reconstr•.,:tlon,
laraement, relocation or alteration of structure, or a �.
t:se of land or structures requested b � cn.-1-Ce in t: ;
end conform to, all applicable laws of thesStatelOftIndiaon na, andpthewi«,
"Zoning Ordinance of Carmel. Indiana -1961," adopted under the authors:
of Chapter 174 of the Acts of 1947. General Assembly of the State of
Indiana, and all Acts amandatory thereto.
P:ame of Aprlicant<�_` Phone No. �• 1 -'Srj I
Address of Applicant t
4r- K„o t 2 / L- N
I't, S
Name of Owner_, C �� 1 � g .� , Phone no. 3,) S,
Address of Owner &C - n- 4► e- C,ta- y L y ��
Location of Property. Lot No .� '' �--
Street No. f -I Addition V./_ nr. r� .. �N.t J6. 4ri
pr other dQseription o ocation
rresent Use of Property
Proposed Use of Property_
Zoning Classification of Property ,/
NOTE: Application for ar. Improvement Location Permit must be Accompanted by
two blueprints of a plot plan of the property drawn to scale, and showing
location of any existing structures or proposed structures together with
n detailed written explanation of the proposed Improresents, and other in-
formation as may be required.
SIGNED:
l ` f c�
Owner
Agent
yo
A Permit Fee of must accompany this application.
Permit Fee received by �,, , C e
BU1101NG COMMISSIONER a
APPROVED
BUILDING COMMISSIONER
CLAY TOWNSHIP
HAMILTON COUNTY