HomeMy WebLinkAbout04020078 Building Plans
CITY OF CARMEL
MASTER PERMIT APPLICA nON
Builder':
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Date: _~.J \0 104
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The undersigned hel'eby applies to the City of Cal'mel, Pel'mit Services office
for an Improvement Location Permit (ILP) for Lot tf:s '7 in (Subdivision
Name) S C\d. cll-e.. Lrr-e-t <- The address of this Lot is
, '-t ~ 'i: J.. ~Vt.Ct 'f\ or'C iN 1.1 i '>f'1'-r Dr'.
The Master Plan File on record with Permit Services is: (Name of Model)
IL-e<:,~I-e-(' ~ 7Q2v (P6) ~11AJcdI5 wil 05~'5 CAr FE-~j P,~~RrY\)
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Applicant hereby agrees to build the same structure that is represented in the
approved A-faster Plan File on record with Permit Services. Any alteration to
this approved plan wi/I require submitting an Application for Revisions to
Oritlliwl Plan Submitted.
Under- the penalties of perjury (Indiana Code 35-44-2-1), I hereby affirm under oath thot
all of the information I hove provided in this Master Permit Application is true and accurate
to the best of my Imowledge 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 regording the truth of the matters addressed therein.
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Name of Applicant 01' Agent (Print) Name of Applicant or Agent (Signature)
MosterPlanFile/Master Permit
Application
Est. June 1999