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HomeMy WebLinkAbout05050083-ApplicationCity of Carmel/Clay Township ~en~it RESIDENTIAL IMPROVE NT LOCATION PERMIT APPLICATION For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUZLDER of RECORD: PROPERTY OWNER: BUILDER'S EMA[L ADDRESS NAHE ~ PHONE FAX BEST METHOD OF CONTACT: PHONE FAX T LOCATION LOT # SUBDMSION NAHE SECTION ! ZONING: & PRO3ECT _ ZNFO: ~-- POOTA~E~ 2--o S~VER Lr~L~'Y/~ WATER Lr'~I.~TY ~ - ' --: ~PE ~: PLU ONT~ ~ S~NGLE FA~LY ~ N~ ~U~URE ~ ;OW, eO~ ~ ~ ~O,(S) ~ ~O ~;~V ~ ~CH A~O~(S) ~ of uni~:~ ~ RENODEL ~ NUL~-FA~LY ~ ACC~SORY BUiLDiNG Wh~ plumbing ~ · of Uni~: R~DE~~ ~ D~ACHED ~GE ~ ~A~ED ~ Addi~ons, Eem~el% Etc,) ~ DENO~ON ~ Unifem Plambin, P ~N - _ _ ~ :-_ J (Hula-Family EaHy Re,~. ~ Man~a~ ~ ~n~on F -, -~ON~P : ama) Pe~it: ~ True: ~t Split: _,~,. Sump Pump: ~- ~ S~B ~ BASEHENT ~ any ~ of ~e pm~ lie within a s~ial FIo~ d~igna~on a~: Y .N W~O~: Y _N t~ 180 ~ of ~e da~e of ~u~ce of ~e b~g ~t. ~d mm~ ~ comple~ (C~m~e of O~u~nc~ i~) ~ 18 mont~ of the ~u~ce da~ O~ I ~mcm ~m ~e ~ubjec~ to the ~ner~ Ad~a~ve R~ of ~e State of India (S~ 675 IAC 1~) ~g ~a~on ~e ~ for ~g ~d comple~g constmc~on. s~cm~ ~t~ bY ~s ap~canon~ mmpl7 ~, ~d co'om to, ~ app~cable hws of ~e State of h~a, ~d ~e ~- 1995 (Z~289)~,~p~edund~au~o~of[C. 36~Ter~q, Gm~smblyof~eSmreof~d~AcB~m · ~ro. I ~ ~ ~a~ o~y ~t~. ba~. ~d fl~r OF~CE USE ONLY: ************************************************************************ Filing ~s: