HomeMy WebLinkAbout05050014-ApplicationPermit
New Structures;Additions, Remodels,
PHONE
crPt
~ OF CONTACT:
PHONE
SU~ #
:onstruct~n)
Lot # and Subdivision (If Apptlcablel
SCOPE(S} OF
DESIGN RELEASE #
ZONING: TAX HAP PARCEL #:
t OTHER(S): ~ - ' _ FOOTAGE:
(EXCLUDING LAND VALUE}
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #9 (If Applicable):
Elevator or UR: ~ YES ~[ NO
1 area)
[] CRAWL SPACE
C~ BASEMENT
WALKOLfI':YN
BLDG, CONSTRUCT]ON TYPE:
E
[] Room(s)
Porch
NEW TENANT FINISH
[] ACCESSORY BUILDING
DETACHED GARAGE
[] AT[ACHED GARAGE
[] CELL TOWER (New)
p- i XNFC)- -4:
Eady Release ~ Manufactured
Permit= Y ~ N
Lot Split: Y~LN Sumpl
Does any part of the property lie within a special Hood
dseignation ar•a:
-- -; NTRA O :
Plumber's Zndiana State License #:
b~a issued by thc D~e~t
Pdnt
OFFICE USE ONLY: ****************************************************
Filing Fees:
Base Inspections:
# Cha~
Reviews
of Community 5ervic~ (Date)