HomeMy WebLinkAbout05030044-Master PermitBJitdcr":
C[T~ OF, CARMEL
MASTER_PERMIT APPLIC_ATION
bate:
q'he unaerstg~ed hereby applies To the City of Carmel, Permit Services
for on Impro~J~enr Location, P~rmit (IBP)for Lot ~ in (5ubdivisio~
The MasTer Plot File on record with Permit Services is: (Name of Model)
approved ~oste~ Plan File on r~co~d ~ith Permit ~e~vices. Any alteration ro
approved p/an ~i// requ/?e submittin~ an ~tion ap Re~ions Tq
Jnol Plan ~ub~itted.
unoer The penalties of perjury (Zndiana Code 35-44-2-~), Z hereby affirm unde~ oath trot
all of me informaT on [ have pray ded n this Moste~ Perm t App cot on s true ora accurate
To the best of my knowledge and bel~ef, r~nd ?ho? I have not knowing y or ntentiona y .
provided o~ om~cd any Informotlon that would tend to h de obscur~ o~ otherw se m s cad ~ne
Debt. of CommuniW ~ervlc~s regarding ~ truth of the ma~ers addressed therein.
Name or'Applicant o~ (PHnt)