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0 eeatdent ial (tine or
O '.0 C,'mntc1,1 pool IV)
;j wa.., r,•, `•O Industrial
Q `'•O Other (gMclfyi
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C',itraDwelling
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C i- O C.ammrrc iai
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0 : ��c1li:. t L*SSIiICATICIM OF jj*iji1
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Present
Attached G._ _.►roposeQ _
osr or catSTWCrti ----------
t Esc l ud I n g Land Ve I us)
- y ., rr •.tet a,tr construct Ion,
reconstruction, eolargemnit, ralocstlon or alter -
in the uar of land of •fracture• t
Ane :...+ ra: all sQuested e
,,a ; ;n applicable Jars of rhe State of Indiana y this application F txnx 14b0". adopted . and the
c. nc•r,,, Ab.emi,Jy Ql the Stat
e�of
Indiana-
of Acts of 1974
Public L.arg
. and all Act.
"'< • or:•t rucLLoa will not be story thereto.
with used of a cupied until proper certificates
4rw,r�* - 'r' °ti.• sit<-tw, bath fM Building Commis•i:,nrr'• {�fti.e, Carsel,
laundry and t kar drains are connected to maniterr'�
Xr..: �•.hr ��I Ij�^
t Address
SQuare Footage �7
Building , ,
(:artlficate of Occupancy
Total. ,
a