HomeMy WebLinkAbout04120051 Master Permit
CITY OF CARMEL
MASTER PERMIT APPLICATION
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 70 in (Subdivision
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The Master Plan File on record with Permit Services is: (Name of Model) ,
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"1J,)..P:tUfpf,~ii!/ agrees to build the same structure that is represented in the I
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approved Master Plan File on record with Permit Services. Any alteration to
this approved plan WI'll require submitting an Aoplication for Revisions to
OrtQinal 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 accurate
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 misleod the
Dept. of Community Services regarding the truth of the matters addressed therein.
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Name of Applicant or Agent (Print) ame of Applicant or Agent (Signature)
MasterPlanFile/Moster Permit
Application
Est. June 1999