Loading...
HomeMy WebLinkAbout06040174 Master Permit CITY OF CARMEL MASTER PERMIT APPLICATION Builder: ~()jyJ .ttcmW Date: l O/l'd-/O cj The undersigned hereby applies to the City of Carmel, Permit Services office for an Improvement Location Permi:" (ILP) for Lot '70 z. in (Subdivision Name) 'h-o'Jld-ente 8 old O"e(to/ACvn. The address of this Lot is YFO Jj <~/J tJ)/f, The Master Plan File on record with Permit Services is: (Name of Model) LI} c..f..-<.K.. ble /I / 51. C/v,J.t A- I Applicant hereby agrees to build the same structure that is represented in the approved Master Plan File on record with Permit Services. Any alteration to this approved plan wi'll require submitting an Application for Revisions to OriQinal Plan Submitted. Under t,he penalties of perjury (Indiana Code 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 accur'ate 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, ~n ~ Groce Name of pplicant or 'gnature) MasterPlanFile/Master Permit ~ ~ Appli~ation Est. June 1999