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1529.00 Application
armel-Clay 0© Permit No.?-21 1, (a) / ownship Application for D ace Improvement Location Permit Roll File , This permit is valid only if construction is started within 120 days of issuance date; all construction must be completed (c./o issued) within 2 years of issuance, date unless an extension of time has been officially granted by letter by the Director. Department of Community Services. `?l W v` 2 i oxe tj7 F?q 17 -7 J / BUII,DER ?y Jy? ff// ( ? !L ( TENANT NAME if applicable) Nn E,, I 'd PHONE F,A ?Fa l S?fl F a 61vn S SLb%e?t_ OWNER r 571?er ?-?/? of " "' )z , / ^ ?? h ? ? ' +1d et YA ?I LOCATION - wnDRFSS OF GUW'IR ON / `' ? J • 51 J; tti A. TYPE OF CONSTRUCTION Do plans include a porch ? F. TYPE OF IMPROVEMENT 1. Single Family 11 Yes 5 i0 1. ew Structure 2. Two Family / ? Addition Pemch =Roo 3. ? Multi-Family Type of Foundation: 3. ? Remodel I (r'bl ?Commerctal Tenant Space tt 4. ? Commercial / Industrial ?Crawlspace 4. ? Foundation Onlyi I I 5. ? Farm 99iisewent 5. ? Demolition, 6. ? OTHER / ?Slab 6. ? Accessory uilding DLEr } 9 -u.? ?_ (Specify) 7. ? Swimming!P?ool?'I B. SEWER: }-? 8. ? Garage Detached- ---ittacEled' 'go 1. Public (Name of System I 1 G. Lot Split I YES NO 2. Private (Septic Tank, etc.) /J H. Flood Zones YES NO C. WATER: p 1. Sump Pump YES NO 1.0 Public (Name of System ( 1 0K. Manufactured Trusses ^a 2. ? Private (WeD. ZONING: 01 Plumbing Contractor (t'J E. ESTIMATED COST OF CONSTRUCTION D (Excluding Land Value) Plumbing Incense # 17 I O BOCA dC BO ####i###i############### #! ##f#t s######i#i#i######ii##i###t#S####f######################!###is## s#####i#, The undersigned agrees that any construction, reconstruction, enlargement, relocation, or alteration of structure, or any change in the use of land or structures requestedby this application will comply with, and conform to, all applicable laws of the State of Indiana; and the "Zoning Ordinance of Cannel Indiana - 1993" (Z-289) and amendments, adopted under authority of I.C. 36-7 et seq, General. Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only kite _ oor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occu d until a CeWjlu a of 0cc cy has been issued by the Department of Community Servicea,;Carmel, Indianat ,t'U f f1??,1 /?c) D///S L2 n I-Ayi W a& (Print) (Phone Number) Sewer Capacity Allotted (015'-00 Plan Commission/BZA Docket # Reviewed/ pproved: Dept. of Community Services Inspections Needed: ndenlab ough- Meter e Site Final /O Permit (Square Footage) 31,0 DO 350.00 8400 1.00 0 laq.no 48gf+