HomeMy WebLinkAbout05050069-Master PermitCZTY OF, CARMEL
Buffder.,
The unders gned hereby applies to the City of Carmel, Permit Services office
for an Zmprog¢'/nent Location Permit (ZLP). for Lot c~ in {Subdivision
Nome) . . The address of this Lot is
Th~ Maste~ Plan File on record with Permit Services is: (Name of Model)
0~i /no/Plan Submf~¢d:
eepr¢$ented/n the
alteration to
Unaer the penalties of perjury (Zndiano Code 35-44-2-1) Z hereby affirm,under oath that
all of the information Z hove provided In .this Master Permit Application Is t~u~ ~nd accurate
to the best of my know ~d9¢ end b~lief .~nd that Z how not ~nowingly o~ Intentionally
provided or omi~ed any Information that. would tend to hide, obscur~ or otherwise mtsleod the
~ept, Of Communl~ Services reg~rdlng'f~e truth of the ma~ers oddressed therein.
Applic~l'ion
Est, June 1999