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HomeMy WebLinkAbout05020067-ApplicationPROPERTY OWNER: LOCAT'~ON & PRO3ECT TNFO: ADDRESS OF CONSTRUCTION Address of Shell Building Of d~rent Ban Address of ( PHONE FAX Z~P FAX Lot # and Subdivision (If Appflcable) ZONING _ ~ TAX i"~P PARCEL # Of floors: ~ BLDG, CDNSTRUCTJON TYPE: : is [~ ADDITION [] Room(s) are ( 0 c FOOTAGE: ESTIMATED CC)bT OF CONSTRUCTION; (EXCLUDING LAND VALUE) ~.1~O'~ Early Release Manufactured Perml~ _Y )(~ N Trusses= ~ ~(_N Lot Split: ~Y __~L_N Sump Pump: y ~LN [] Mezzanine or Deck Does any park of the propm'ty lie witflin a special Flood ~N~H SLAB Plumber's Zndiana State Ucense #: ZNSPECTZONS REQUXRED: $it~ Base Inspedcions: