HomeMy WebLinkAboutPermit
CAR~rEL. INDIANA AND
JURISDICTIONAL ARE
.IM,P~OV~MENT LOCATION PERMIT
Permit No. .26S-7/
Datep~/~/f?1
~> :A'rfp;oved by State Board of Accounts
~~ For Town of Carmel, 1959
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This is to cenify thnt
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PC Form
,.', ','-."eU '" UUJ'",cdte! ',"'~ /t'i' 1771
APPLICATION F'OR IMPROVEMENT LOCATION PERrlIT AND CERTIFICATE OF
.. .,.,..'.~.. l .,~
OCCUPANCY
No.
~lJr"71
riled b- /0 - 7/
D9te
The undersigned agrees that any construction. reconstruction, en-
l~rgement, relocation or alteration of structure, or ani change in the
r "t~\~;~ o~ lar..d or structures requested by this application will comply wi th,
.<md cohforn to, all applicable laNs of the State of Indiana t and the
'" Zoning-"Ordinflnce of Carmel, Indiana-1961. II adopted under the au thori ty
of Chapter 174 of the Acts of 1947, General Assembly of the State of
Indiana, and all Acts amandatory thereto.
Name.of APP11cant~,;t/ ~t.e;u,PI/
f?A-JE Pe
NAme of Owner
of Applicant 670
5AMe
Phone No,
;j;.;ppl 5 .
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f'y{. 2 ~ //4
Address
Phone No.
5' /fA;( e
Andress of Owner
SAM E
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LQcatlon of Property.1tot No.
Str~et No. pr other description of
s-? ~f.s9 b,2
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c. 'j";r~ II
l'resent Use of Property --
IToposed Use of, Property I'A U '-1' I pL.1:. Aft:> oJ i> ~ I'V'
Zqni~g C1assi fica tion of Property {2- 'f .
~in'l'E: Application for an Improvement Location Permit must be AccoInpnni (~d \I,y
toW) 'blueprints of a plot plan of the property drawn to scale tend showln::
locetion of any existing structures or proposed structures together with
F1 detailed written explanation of the proposed Improvements, and in-
formation as may be required. ~
Agent
SIGN~~,._ . ~,_
Owner
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^ Permit Fee of ~~ t~S:--must accompan~chls application..
Permit Fee received by (~~ .
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WI D
BUILDING COMMISSIONER
> CLA Y TOWNSHIP
H}\.MTLTON COUNTY
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