HomeMy WebLinkAbout05030046-Master PermitBu aer:
C]]q~/ OF. CARMEL
MASTER PERMZT APPLZ~_ ATT. ON
The undersigned hereby opplies ~o the City of ¢ormel, Permit Services office
for an Zm~rov¢'ment Location P~crmit (]'bP) for Lot ~ in (Subdivision
Name) ~ The ~ddress of this Lot is
The MaSTen Plan ~[le on recond with Permit Services is: (Name of Model)
Appl/~on~ hereby a.qrees to bu//d the same structure ~,hat ~l's repmesented /~ rne
approved ~aste~ P/an Fi/e on record ~/th Permit ~e~v/~es. ~ny alteration ro
approved p/on w/// requ/~e submitt/~9 on ~//cot/on ~o~ ~ev/~/ons ro
ted. ~
unoar The DcnQITiaS of perjury (Zndiono Code 35-44-2-1), Z hereby affirm under OaTh thor
~ of the qformotlon Z h~v¢ provided In this Master Permit Application ~s true aha ~ccure~¢
to ~ne ~es~ of my knowledge ~na belief, ~nd that Z hove not knowingly or Intentionally
prowaca or omi~¢d ony informotIon thgt. would tend to hide, obscur~ or otherwise mis coo Thc
D¢~. of Commum~ 5¢rvlc~ regarding th~ ~ru~h of the ma~ers addressed therein.
June 1999