HomeMy WebLinkAbout05030038-Master PlanCZTY OF CARMEL
MASTER PERM:]::T APPLI:_ eAT'ZON
Date:
The undersigned hereby applies to the City of Carmel, Permit 5¢rvices office
for on ]:m~roge~menT Location Permit (ZLP) for Lot ~ in (Subdivision
Nome) ~ The odd~ess of this Lot is
The M~ste~ Plan File on record with Permit Services ~s: (Name of Model)
V t,:,-':-,3 .-. _
~oved ~re~ ~/an FiI~ on ~eco~d w/th Permit' ~e~vices. Any alteration to
approved plan will requ/Pe submitting an ~for ~evisions to
~n ~ubmi?ted~
vna~r The ~en~lT~¢$ of perjury (Zndiono ¢od¢ 3§-~-~-~), :I: hereby ~fflrm under oath that
a~ of th~ informotlon I hove provided in this Master Permit Application Is true ond occurot¢
~o The ~¢~T Of my knowl~dg~ ~nd belief', 'OhO that [ hove not ~nowlngly or Intent/onolly
prov~aea or omitted ony Informotion th~_t, would tend to hide, obscure or otherwise mislead the
be~t. of Commum~y Services regarding f~e truth of the mai-rets addressed tl~ereln.