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HomeMy WebLinkAbout05030139-Application Township Permit #:__ INSTITUTIONAL IM:PRO~ LOCATION PERMIT APPLICATION For Commercialor InstituUonah New ~ructures, Additions, Remodels, Tenant Finishe~, &Accessory Buildinga PHONE FAX PROPERTY OWNER: & PRO.1ECT INFO: Address of C SUITE ~ (If Applicable) SCOPE(S) OF o FDN ~ ELEC PROVIDER: PROVIDER: / BZA / BPW DOCKET NUMBERS; AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicaffe): ~' ARCH ~MECH ~ PLUM SQUAR~ FOOTAGE: [] IN Church which [] CRAWL SPACE (~} POST & BEAM C3 BASEMENT (or POST & PIER) WALKOUT,V' y N NEW STRUCTURE Early Permit: ~Y_~N Trusses: Y ~ N Lot Split: _Y J~._N Sump Pump: Y ~-_N Does any part of the property lie within a special Flood designaUon area: Y~CN ATt'ACHED GARAGE CELL TOWER(New) CELL TOWER CO-LOCATE [] DEMOLITION Sta~e of Indiana (See 675 IAC 12) regarding ex:pit at/on time ~ram~ for · or any change in the usc of land or structures with, and conform to, all applicable laws of the State o[ IndJ~llaI ~ th/: "Zoning Ordinance of Carmd Indiana - 1993" (Z- of I.C. 36-7 et ~q, General Assembly o£ the State of Indiana. and all Acts amendatory thereto. I further certify that only . sewer. I/xtrther cert~ that the construction will not be used or occupied until a Cett:~Zat¢ o[ been i~ued by the l~partment of Community Services, Cannel, Indiana. INSPECTIONS REQUIRED: Filing Fees: Slab Base Inspections: Site Cert. of Occupancy: TOTAL: # Charged Re- (Date)