HomeMy WebLinkAbout06040148 Master Permit Application
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CITY, OF CARMEL
MASTER PERMIT APPLICA nON
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Builder:
Date:
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~ The undersigned hereby applies to the City of Carmel, Permit Services office
for an Improvement Location Permit (ILP) for Lot d.. in (Subdivision
Name). ~M ~ · . The ......" of th;, Lot ;,
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The Master Plan File on record with Permit Services is: (Name of Model)
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Applicant hereby agrees fG bul1d'the same '5#ucture that is repMsented in the
approved Master Plan Fl1e on record with Permit Services. Any alteration to
this approved plan will require submitting an Application for Revisions to
OriQinal Plan Submitted.
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Under the penalties of perjury (Indiana Co'!!)35-44-2-1), I hereby affirm under oath that
all of the information I have provided in this Master Permit Application is true and accurate
to the best of my knowledge and belief, and that I have not knowingly or intentionally
provided or omitted any information that would tend to hide, obscure or otherwise mislead the
Dept. of Community Services regarding the truth of the matters addressed therein.
9:-f1IC-l? 5-revA-nOv;'c
ame of Applicant or Agent (Print)
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Name of Applicant or Agent (Signature)
MasterPlanFilelMaster Permit
Application
Est. June 1999