HomeMy WebLinkAbout06040176 Master Permit
CITY OF CARMEL
MASTER PERMIT APPLICA nON
Builder:
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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 7(7 r in (Subdivision
Name) ~OylClf()ce e old lY't'(tcLlOtn. The address of this Lot is
V)j 5)eel-J ()/(.
The Master Plan File on record with Permit Services is: (Name of Model)
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Applicant hereby agrees to bui'ld the same structure that is represented in the
approved Master Plan Fi'le on record with Permit Serv/~es. Any alteration to
this approved plan will require submitting an Application for Revisions to
Oriqinal Plan Submitted,
Under 'the 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.
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Name of pplicant or
,
MQst~rPlanFile/Master Permit
... ,Application
Est. June 1999