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05040090-Application
BUZLDER of RECORD: PROPERTY OWNER: TNFO: For Single Family, Hulti-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures ~ ~ PHONE, F I. ~FREET ADDRESS ~ ~ STA'I~ ZIP ~ 8ES¥ METHOD OF CONTACT: SUBD~SION NAME SECT[ON ZONING: SQUARE / BPW DOCKET {IF APPLICABLE}: ESr[MATED COST OF CONS~[~UCFJON: (EXO_UDING L~ND VALUE) ~ PORCH ADDITION(S) REMODEL [] DETACHED GARAGE C~ ATI'ACHED GARAGE (~ DEMOLITION Manufa .ctured Trusses, Plumber's Indiana State License #. [] Uniform Numbing Code w/Indiana Amendments (Multi-Family Cor, st~on Code) (Check all that apply for the new .e construction w/II not be OFFZCE USE ONLY: ************************************************************************ Rling Fees: Base Inspecbons: ~ ~/ ~ (~ v~ews Cert. of Occupancy: -~: /, ~ '~" P.R.I.F.: