HomeMy WebLinkAboutApplicationWN PERMIT
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Rev. 1-1-61 Shaet 1 of 2 Lheet
U. Form (: v Do F i 14H iii �n ? =3 �Lfe urf.c
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APFL_ICATMO FOP DT. 1 .:t; :''_' IMAT1! 71,,1RArT AIT GE2:TQ':CA7E OF
Date Filed
T1ic undcrsign.:d a ,r. zcs that ary conrtrtmct-on r^_conn traction, enlargement,
relocation or altcrrtim of ctructurc,, or any cha`:gc in tae u is of lana or
structures requested by thio ripplic,atim, kill c:cm,.ly wi`h„ end confer to, all
applicable laws of Lhe State of In,::.a:..�, -rd the "Zollf-ag Crdinrrcc of Cr_:mel,
Indiana .. 1961," ciuptcd un�ic:r th. 2 rut h,7ri ty of U..cptcr 17 4 of tine Acts of
1947, Gen; rai Loscribly of Cie SL•.-te of Indra. and all .-ccs aaendatory thereto.
Nine of ".pp : is ant .._..� =-- (_-'—�.��Y'l/ L� ` L- _ c Phow No. e J 7 - V6
__Addmcs of Applicant - -YXCiAJ
N.me of thrner _�. '� �utne No. A/ z «3ol=
Address of Omer
Location of Property: r,o Iii.. �f `{:: L s,,1��� �;s; � Addition
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Strcet I?o. or other de. cri.pt:,oa of l.o<:at;cn _
Present Use of Propt-rty
Proposcd Use of Pruperty
Zmimg Classification of Pr-.perty
n(im - t_pplication for an Inrsrovc-"ncnt Lrwr_tion 4ermie muct ba accospe nied by
two bluepri:.ts of n plot plcn of th- propcity d.:" -%;m to seek, she►7ir:9
lot line.-, d1mcnsion:., uti.lit:::D, stre:.%- widths, and shoring
location of my exioting Ctructures cr p;cpo3-:A ctructures togothcr
with a dct ailed crritt-n cxplan.-tion of the proposed Improvcmcats, and
other Lzformatioz as t.In;• be r.�geiicd.
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A Permit Fe:: of $ mu^t :ccor.., ^ii.y this rpplicrtion.
Pamit f,:e rec.:ivc:d by
1;(..)MMISSIONER
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