HomeMy WebLinkAbout0269.90 ApplicationCl it No A L, ? 17
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This permit &
ction is completed (c/o issued) within (2) two
years of issuance date unless an
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BUILDER a"WT7 PHONE
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STREET SjAW _7
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W
TENANT NAME
(if applicable)
NAME / PHONE
L
OWNER
STREET CITY STATE ZIP
LOT 3o SUBDIVISION S 1 r SECTION
LOCATION
ADDRES OF CONSTRUCTION
A. TYPTeOF CONSTRUCTION
1. esidential (One or Two Family)
Q Residential (Multi-family)
3. (off Commercial
4. Industrial
5.0 Institutional
B. F SEWAGE DISPOSAL
IrpPlivate ublic (Name of System
(Se 'c Tank,
C. TYPE OF WATEpts)i c?`? r
1.0 Public System (Na st
2.0 Private (Well "
D. rqTji OF IMPROVVMEjW
1. New Stucture ` VHF G G?
YO 'Commercial Tenantaace \N
3. Q Addition PgW
4.8 Remodel v
5.0 Foundation Only
6.0 Demolition
7.0 Accessory Building
8. Swimming Pool
9. Garage Detached
F_
?? E/ ZONING CLASSI ON OF PROPERTY
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J('j ??F resen
F. PIIE5ENT PS&GRERCfERTY
Fa acant
CJ OQ 2. Residents a or Two Family)
0 Commercial
3
.
4.0 Industrial
f M? 5.0 Other (Specify)
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Q' SE OF PROPERTY
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4.
Industrial
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5
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y
H. ESTIMATE COST OF CONSTRUC
Room (Excluding Land Value)
1. Lot Split: Yes
Y
d Z
Fl x
No
Noi
ones:
es
J.
oo
A. B. C.
K. Sump Pump: Yes
L. Geothermal Heat Pump: Yes
No
No
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.1 et seq, General Assembly
of the State of Indiana, and all Acts amendatory thereto.
Inspections Needed: Footin Under Slab
M U? Rough eter Ba-ly
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.
only kitchen, bath, la ry and floor drains are
y S?werr,n .t !