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HomeMy WebLinkAbout05020037-ApplicationPROPERTY OWNER: LOCATION & PROJECT TNFO: SEWER UTZLrrY PROVIDER: City of Carmd/ Clay Township Permit # SIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures WATER UT~ ~ROV~DER: ~ '~' / \ (EXCLUDING LAND VALUE) TOWN HOME TWO FAMILY # of units: MULTi-FAMILY # of Units: RESIDENTIAL(For---- Additions, Remodels, Etc.) 0 [] 0 DEHOIZT[ON ~ Plumbim ~/Construction Code) Early Release . ~ ManufaCtUred , ~ F~,~z~: (Check all that apply for the new Permit: y '~,N T~'ee.~. v X~, .,_- constrectionarea) LotS'lit: ..-~. - 2 · ~. ~.~(~/'t~ CRAWLSPACE [] , __1.._~. ~umpYump. ____~ /x N SLAB ,/~ BASEMENTPOST&BEAM ¥ part of the preperty lie within a special Flood designation area: Y __~___~ N WALKOUT:__Yi_~N Fo~ S~ ~y a~d 'two ~a~:~ly dw¢[[f~ ~d~do~s, r~mod¢ls, ~md/o~ ~cc~sot7 structures, t~s ~mit is v~tid oa]y ff coast~uctio~ comm¢~c~s ~ w~th[n ?0 days o£ thc date o£ ~ssua.~. c¢ o£ th~ ~u~di~g ~rm~t, ~md must l~ completed (C~tLflc~tc o£ Occupancy issued) wit~ t8 mon[hs o£ thc ~ss~c~ eat¢. Class ! stmcm~ l~rmts ~t¢ subj~c~ to ~ ~ A~v~ Eu[~ o~ c~ S~ of [a~a (See 675 ~AC t2) r~ dine f~ ~d ~9mpledng cons~cdon. I, the und~i~, ~ee ~t ~ c~nsmsfion, rmpnsmc~~~ ~a~mre, or ~y ch~ge ~ ~e use of ~d or smcm~s ~q~ted by ~s appBcauon ~ comply ~, ~ :~eg~s ~ ~ ~a, ~d ~e ~Zo~g Ore.ce of h~- 1993 (Z~289) md m~ts, adopted und~ a~~~Smte of h~a, ~d ~ Acts ~eto. I ~ c~ t~t o~y ~tch~, bath~ md floor ~s me co~ected to &e s~ sewer. I ~ cer~ ~t ~e consmc~on ~y ~e ~p~t of Co~u~ty Se~c~. C~el, India. Si~ Cert. of Occupancy: P.R.I.F.: TOTAL: ~'-~-..~l, (Date) Additional Fees-