HomeMy WebLinkAbout0289.93 Application
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RM-HsNip
Improvement Location Permit
Permit No. 0<4
Roll File
This permit is valid only if construction is started within 120 days of issuance date; all construction is 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 Commu
Development.
BUILDER NA {? , i PHOI - d ` 2 C
STREET STAIE ZIP
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TENANT NAME
(it apylicable)
NAME PHONE
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OWNER y
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CITY STATE ZIP
STREET
APR 2 6 195 LOT SUBD ISION SECTION
LOCATION
RMIM ADDRESOF CONS U
ON
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A. "IZE_QF CONSTRUCTION E. ZONI G CLASSIFICATION OF PROPERTY
1. Residential (One or Two Family) Present 5'- 1
2. Residential (Multi-family) F. rRf_SWT USE OF PROPERTY
3. Commercial Farm /Vacant
4. Industrial 2. Residential (One or Two Family)
5.0 Institutional 3. Commercial
B. TUg4F SEWAGE DISPOSAL 4. Industrial
1. Public (Name of System 6,4? ) 5. Other (Specify)
'n?oj 2.0 Private (Se c Tank, etc.) G. RO D USE OF PROPERTY
C. T PE F WATER One or Two Family Dwelling
1 Public System (Name of System ) 2. Multi-family
2.6 Private (Well ) 3.0 Commercial
D. ' ,0r IMPROVEMENT 4.0 Industrial
1. New Stucture 5.0 Other (Specify)
2.0 Commercial Tenant Space H. ESTIMATE COST OF CONSTRUCTION
3.8 Addition Porch Room (Excluding Land Value)
4.8 Remodel I. Lot Split: Yes No
5. Foundation Only J. Flood Zones: Yes No?-
6. Demolition A. B. C. L? No
7. Accessory Building K. Sump Pump: Yes
8.0 Swimming Pool L. Geothermal Heat Pump: Yes No?
9.0 Garage Detached Attached
The undersigned agrees that any construction, reconstruction, enlargement, relocation or alteration of structure, or any change in the use
of land or stuctures requested by this application will comply with, and comform to, all applicable laws of the State of Indiana, and the
"Zoning Ordinance of Carmel, Indiana -1980", adopted under the authority of Acts of 1979, Public Law 178 Sec. l et seq, General Assembly
of the State of Indiana, and all Acts amendatory thereto.
,fiio
N;=,0i Occupancy ..............
Total ..............................................
Plan Comm./BZA Docket #
I further certify that the construction will not be used or occupied until a certificate of occupancy has been issued by the Department of
Community Development, Carmel, Indiana.