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CARMEL -CLAY TOWNSHIP
APPLICATION FOR IMPROVEMENT LOCATION
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BLDG. Plti'T p
DATE I :' :... _ 7 ,� �- %,
FEE PA ID C' • �- C�
PERMIT AND CERTIFICATE OF OCCUPANCY CONTR. REG.
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Bvilder
Owner -T _. e- Y' >
Location _ =
LOT NO* ADDITION
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�,. _',-E O,F CC:_ * .-,'i'CT10N tj. r:_ _ _ . z
1. esidential (One or two family) 1. ❑farm
2. p Residential (Multi -family) 2. Residential (One or two family)
3. ❑ Commercial 3. D Commercial
4. ❑ Industrial 4. ❑ Industrial
B. TYPE OF -SEWAGE DISPOSAL 5. pother -specify
1. £?"Public : " -
q7, USE OF PROFFRTT
?. ❑ Private (Septic tank, etc.) 1. QCrie or two family dwe'
C. TYPE DP -IMPROVEMENT 2. ❑'Multi -family
1. C'New structure 3. ❑ 7ommercial
2. D Addition Porch Room 4. p Industrial
3. ❑ Remodel — 5. p :cher-specify
4. ❑ Foundation only
F. i J ►. u v
5. L7 Demolition Present Proposed
6. Q Accessory Building
7. p Swimming Pool -IN-
T11- �n� �Ih:8. DGara a Detached Attached CL�D....J ;.
hereby certify that have the au or y o make e forego n appj'-'n•
that the application is correc and that the construction will conform to
regulations in the Buildickj vie "Zoning Ordinance of Carmel, Indiana -
1961," and amendments I d under the authority of Chapter 174 of Me
Acts of 1947, General �&f State of Ind' r *OL %two.", 4e "ryz
. ns i f any, �d' may bt impa$��al�t!
thereto, or private b i � Y
above property by dee .!'d g1M'a�
I further certify t(FIs" 'Xi drainage of ,ru' damage to pub?.
Y� � tion and si 'j ding shall conte trN
property will result o y►t1.
the subdivision develo *. Cir' pProved by Carmel '1Oy Plan t;oa0i ionr
if any.
T o.....ati.s., ^,mv,+i F:, +hsa♦ truction will not bVised or occupzed' ant11