HomeMy WebLinkAbout05030036-Master PermitB_.,aer'
C]IT OF, CARMEL
MASTER_ PERMit APPLT. C. ATION
bate:
The undersigned hereby applies to the City of Carmel, Permit Services off'ce
· ,. ~lc.T~<o
for ~n Zmprovement Location Permit (ZLP) for Lot ~ in (Subdivision
No;e)~~~' ~' The~ddressofthisLotis
The Most~p Pion Fi)~ on ~ecord with Permit Services is: (Nome of Model)
Apph'cant hereby o~ees ro bu//d the same structure ghat )'s represented in the
~pproved ~ste~ P/an F//e o~ reco~d ~/th Permit Sewages. Any a/te~at/~n ro
tala approved plan will vequ/?e subm/tt/~9 an ~ov Rev/s/oas tg
~naer The penalties of perjury (Indiana ¢oae 35-44~2-1), Z hereby affirm under oath Tna?
o*~ of the information Z have provided in ,his Master Permit Application Is True and accurate
To tn~ best of my knowledge eno belief, bad tho, Z how not knowingly or Intentionally
prov~aec or omi~d any {nform~tlon that would tend to hide, obscure or otherwise m s eec The
DCpT, Of Commun;~ ~rvJccs r¢g~rd~ng f'~ trut~ of th~ ma~¢~s addressed ther¢l~
Nome crlCJApt;licant o~'~ (Print')
ture)
L:s~ 5une 1999