HomeMy WebLinkAbout05020099-ApplicationCity of Carmd/Clay Township permit #
SIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
FOr Single Family, Multi-Family, & Two Family: New Structures, AddiUons, Remodels, & Accessory Structures
OWNER:
LOCATZON
& PROJECT
lrNFO:
SECTION
~P, OVIDER: ,.,L. (EXCLUDING LAND VALUE}
I BPW DOC~-T ~ A
PERMIT #'S (IF APPLICABLE): N~-'
(S) RELEASE:D FOR CONSTRUCTION
P, EMODEL
{~ ACCESSORY BUILDING
[] DETACHED ~GE ~~l~D~~n~men~
- NDA :N~P~: (Che~all~tapp~r~en~
q Tru~s: Y ~N
~ ~ & B~M
w~,
FOr Sm~c F~y ~d Two F~y dw~ngs, additions, ~c~, ~or a~ s~c~ ~
- ~ 180 days of [he ~e og mnce of ~e b~g ~r, ~d mus~ be completed (~m~
~s~ce ~te. O~ I s~c~ ~ ~ subj~t m thc ~er~ A~s~a~ve R~ of the State of India (See 6D ~C 12) ~g~g ~a~°n
~e ~m~ for ~g ~d cmple~g co~mction,
I. the ~&~, ~e ~at my mnsmcdon, r~mc~om ~m~[ rd~a~on, or ~r~afion of a smcmre, or
smcm~ ~t~ by ~ app~cadon ~ comply ~, md co.om to ~ app~mble hws of the S~te
~ ~93 (Z~289)~d~s~ad~p~dun~au~I.C.36~7etseq~G~y~eSm~e~d~Act~am~t~
thoro.: ~ c~ ~t o~y htchen, ba~, ~d fl~r ~s ~e co~t~ to ~e smt~ ~. I.~nh~ c~y
u~or~ ~pledun~C~cffOo[Occn~cy~n~uedby~e~entofCo~um~ces, C~d. ln~.
.
)F~CE USE ONLY: ************************************************************************
UIRED:
Under Slab
Base Inspections:
Cert. of Occupancy:
P.R.I.F.:
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