HomeMy WebLinkAbout05030034-Master PermitBuild6r;
CZTY OF. CARMEb
MASTER PERMIT APPb.TC~TZON
~ate: ~
The undersigned hereby applies TO the City of Carmel, Permit Services office
for an Zm~ro¢~menr .ocation Permit (ZLP) for Lot ~ in (Subdivision
Name) ~ The odd,ess of this Lot is
~e M~sTer Plan File on record with Permit Services is: (Name of Model)
~pl/~ont hereby agrees ro bu~Yd the same structure ~hat )~ represented/~
¢~¢~oved ~ste~ Plan File on record with Permit ServiCes. Any alterat/bn ro
n/s approved p/an w/fl ~equ/re submitt/~9 an ~sion~
unaer the penalties of perjury (Indiana Code 35-44-2-1), Z hereby affirm under oath that
¢~ of thc information Z have provided tn this Master Permit Application Is true and accurate
to ~nc ~es~ of my knowledge ~nd bellef,,'and that Z hove not ~nowlng y or intentional y
provided or oral.ed any Informotlon that would tend to hide obscure or otherwise mislead the
Dc~T. of ~ommun~ Services regarding f~e truth of the m~ers addressed therein,
Es~ ]une 199g