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0660.90 Application
Corm Carmel • 1 Improvement Location Permit Permit No. YawnsC Date -, r (fs- Roll, File been officiallan ! baconstruction y letter bt r, par issued) within (2) two Tears ofnissuancel date unlesss an extension of started timwithin e has 120daysof years P only y granted y by the Diec©r, Department of Community Development. I NAM I! »? C I , i ` PHONE - -t3 - to BUILDER STREET CITY STA_ ZIP TENANT NAME (at applicable) - NAME PHONE OWNER ° .;ts?br STREET CITY - STATE ZIP - y ` ` ` LOT SUBDIVISION t ? SECT LOCATION - - - ADDRESS OF CONSTRUCTION j4tl A. T'Y PP6F CONSTRUCTION E. ZONING CLASSIFICA O N OF PROPERTY 1. & Residential (One or Two Family) Present l 2.0 Residential (Multi-family) ' j ,,d'k PRESENT USE OF PROPERTY 3.0 Commercial `" .0 Farm/Vacant 4.0 Industrial ,'- ?ti Residential (One or Two Family) 5. 0 Institutional 4.0 Indust vial B. TYPE SEWAGE DISPOSAL 1. Public (Name of System 1 r y ) 5.0 Other (Specify) 2. a Private (Septic Tank, etc.) c G. PROPOSED USE OF PROPERTY C. TYPE 9F WATER 1?5 x, a 1. One or Two Family Dwelling 1. Public System (Name stern' x 1_; ?` 2. Multi-family 2.0 Private (Well 3.0 Commercial D. TYPE IMPROVEMEN 4.0 Industrial 1. New Stucture C0'?` + 5.0 Other (Specify) 2.0 Commercial Tenant Spa & H. ESTIMATE COST OF CONSTRUCTION 3.0 Addition Porch fn (Excluding Land Value) 4.0 Remodel I. Lot Split: Yes` No 5.0 Foundation Only J. Flood Zones: Yes No 6.0 Demolition A. B. C. 7.0 Accessory Building K. Sump Pump: Yes No 8.0' Swimming Pool L. Geothermal Heat Pump: Yes No -- A. 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 173 Sec. I et sect, General Assembly of the State of Indiana, and all Acts amendatory thereto. 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. I further certify that only kitchen, bath, laundry and floor drains are connected to sanitary sewer, Inspections Needed: oki /Under Slab - ignature of Owner' or Authorized Agent r1 6-t, 1" " ete ase 2-6 Y Q 111 E, Address - - - final Square Footage - Permit (Sq. Footage) ...................... Inspections .... ........ . Certificate of Occupancy ........... Total ................................................ Plan Cormm./BZA Docket # 1UU " /0 City State Zip Phone