HomeMy WebLinkAbout05020113-Application Tou ship
LOCATION PE1LM T APPLICATION
ii or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
RECORD:
OWNER:
STREET ADDRESS
ADDRESS OF CONSTRUCTION
g (If
PHONE FAX
SUITE # (if Applicable)
Lot # and Subdivision (If Applicable)
NAME: ZONING: #:
WA31~R UTILITY SEWER
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(P~ ~n~ ~ ~. ~ ADD~ON
0 Munid.~c~d~~t~ and Lo~
men~n~ona~a) SND~A~ A~ACHED~E
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FON (~r~STR ~ARCH
~'ELEC o SPI0.R O~!ER(S):__
P = :--
Eady Release
Permit: ~ .Z~_N Trusses:
Lot Split: Y
Does any part of the property lie within a special Rood
designaUon area: Y,%N
=- I- i - O-:
Plumber's indiana State Ucense #:
: of Incliana (See 675 IAC 1
o.r a structure, or any change in
r Authorized Agent Print
Filing Fees:
# Charged Re-
Base Inspections: ~ Reviews
Cert. of Occupancy:
~ (Date)
S:P~ COMMERCIAL