HomeMy WebLinkAbout05030043-Master PermitBuilder:
~!TY OF, CARMEL
MASTER PERMIT APPL.T.C, ATZON
The undersigned hereby applies TO the City of Carmel, Permit Services off ce
for an Improvement Location Permit (ZLP) for Lot ~ in (Subdivision
Name) ~ . The address of this Lot is
The Master Plan File on record with Permit Services is: (Name of Model)
Apoh'can? hereby agrees To bu/Id the same structure ?,hat ~'s represented/n rne
approved A~as?eP Plan ?//e on recoPd w/th Perm/t Serv/ces. Any altera?/on ro
rn~s approved p/an w/W requ/re submittlhg an ~_p~I/cotion ~_g~_~/sions ro
~Zubmitted,_
~nocr The PenClTieS Of ~¢rjury (]'ndiono Codz 25-44-2-1), t' hereby ~ffirm under oath
oil of Tn~ information Z hove provided In this AAoster ~ermlt Application Is True and
To thc ~ of my knowlcd~/¢ and belief, i=nd th~? :: hove not knowingly or Inten?ion~lly
provided or omiTTed ony Information thgt. would tend to hide, obscure or otherwise misleac
D¢~T. of Community Services regordlng f~e truth of the maTTers addressed