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Rev. 1-1-61
ZA Form
PC Form
Sheet 1 of 2 sheets
(To Be Filed in Duplicate) Date :J~ Z 9-c. 8
APPLICATION FOR IMPROVEfJIENT I,OCATION PEPJHT A..lI.JD CERTIFICATE OF
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No. 0--a- k 8
Date filed ;3 - Z 9-1:, 8~
The undersigned agrees that any construction, reconstruction, en-
largement, relocation or a:!.te:i."'l:.tlon of st~uct':.lre~ or any change in
the use of land or structures roq";lestecl by thJ.s application will
comply. wi th, and conform to " al~L e.pplJ cabl.e lav-is of the. State of
Indiana" and the nZoning Ordina:nce :)f Carmel.. Indiana..1961~ r, adopted
under the authori ty' of Chcl.pter 174 vI' tl:e Acts of 1947, Gene~al
Assembly of the State of lndianap and all acts amandatory thereto.
Name of APPl1cantiJ.a,~:f:i."'.I'l. 1I_9..eA"~~~ (1e", Phone No. 1:."I~-';/:J1
Address of APPlicant_~;;;~~T~_..t?___,.zA.lo' ,; ..' .
Name of OWner . S1"JI?1A:'. Phone No'"
Address of Owner~~L==-----=___,_,==-_
Location of Proper-ty~ Lot No.:> ~n
stre:.} No. or other dosoriPtionof-loCarron_../~': ,./ 1/6
E'r- ,euc,e L~._C:L.,;Jy 7ev,l'._____._f
Present Use of Propert~y -~.~-m~+ =-__ _.-==~=-
Prop,?sed Use of Prope:c.ty _, !P./J;~ Acme
Zoning Classification of Propert;y ~,5-1
NOTE: . A.pplication for an Improv'ement Location Permi t must be Accompanol.
ied by two blueprints of a plot plan of the property drawn to scale,
showing lot linesg dimensions~ easements~ utllities~ street widths,
and showing location of: ar.~y existing structures or proposed structures
together with a detailed uritten explanation of the proposed Improve-
ments, and other information as may be required..
SIGNED:
~wr>7
Owner
~L~
Agent
",0"
A Permit Fee of $/..1 - must accompany this application.
Permi t Fee received by ~ .tf3. ~-(...,.~.
BUILDING COMMISSIONER
APPltoV D
BUILDING COMMISSIONER
CLAY TOWNSHIP
HAMILTON COUNTY
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A PROVED'
BUILDING COMMISSIONER
CLAY TOWNSHIP
HA~IILTON COUNTY
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Approved by State Board of Accounts
For Town of Carmel, 1959
Permit No. ,,/~' S .,.. (. 8
IMPROVEMENT LOCATION PERMIT
Date ivt~'/j''''::. /"I~I;- (.;:,~
CARMEL, INDIANA AND
JURISDICTIONAL.AREA
of
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Name of Applicant
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. Address
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This is to certify tha t
,/ ""f:~"'" 4>' ~. ....;. f1'~ .'1 . ,", ,y
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has qualified to
build a
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, Kind of Structure
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of
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Size
Material
constructed on land here described
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Lots, Acres, Description of Land
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Building'
Electrical
Plumbing
Final
Total
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