HomeMy WebLinkAbout05040165-ApplicationSTA'I~
SUITE #
' d~erent
ZONING: TAX MAP PARCEL #:
STATI~ COMMERC~
DESIGN RELEASE #:
SCOPe(S) OF ~ NECH ~- PLUi'4 SQUARE
RELEASE: ~r~_ELEC CD SPKLR O'I~HER(S): "'~ .- FOOTAGE:
SEWER Lr~IJTY
PROVIDER:
PLAN COMMISSION / Bt.A/~ DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEFTIC PF_RMIT ~S (If Applk~ble):
utc 0 ~ a~NO
0 I'NSTtTUT/ONAL
O Hun cipal/Public Blcig
CD Church
[] NEW STRUCTURE
[] ADD~ON
0 RoomCs)
[] Porc~
[] REMODEL
~- NEW TENAhT FINISH
POST & BEAM 0 BASEMENT
POST & P~ER) WALKOUT: Y N
a~ subjtct to
Lot Spilt:
Trusses: Y N
Sump Pump: __Y
[] DETACHED GARAGE
O~ ATTACHED GARAGE --
CELL TOWER (New) Plumber's Indiana State License #:
0 CELL TOWER CO-LOCATE
0 DENOLtT[ON
~L~d conform to, ~J1 a
?ndiana, and the 'Zoning Ordinance of Carmel Indiana - 1993"
of Indiana, and all Acts amendatory thereto, I further certify that only
Indiana.
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INSPECT/ONS REQUIRED: Filing Fees: # Charged Re~
Base Inspections: Reviews
site CerL of Occu
TOTAL:
(Date)