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HomeMy WebLinkAbout05060034-Application PERMIT APPLICATION For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures FAX BEST METHOD OF CONTACT: PROPERTY OWNER: PHONE FAX SINGLE FAMILY TOWN HOME [] TWO FAMILY # of units:__ [] MULTi-FAMILY # of Units:__ RESIDENTIAL (For Additions, Remodels, Etc.) TYP ,- 'R, VEM N : ~RooEW STRUCTUR~ M ADDITION(S) [] PORCH ADDITION(S) [] REMODEL [] ACCESSORY BUILD~ [] DETACHED GAP [] AI'I'ACHED GA~ [] DEMOLITION Manufactured PLUM_BING j ss/ Permit: J [] CRAWLSPACE [] POST&BEAM'~'~trJ~ ~h('~ Lot Split: ~ Sump Pump: _.Z~____N [] S~B ~EME~ ~oSffl~ ~ any ~ of ~e s~al FI~ d~ignaUon a~a: Y ~ WA~O~: Y~] - For S~C F~y ~d Two F~y dwc~gs, ad~on~ r~, ~or ~c~ s~c~, ~s ~t is v~d offiy ff cons~c~on co~cnc~ ~ 180 ~ of ~e ~te of ~u~ce of ~e bufl~g ~t, ~d m~t ~ completed (Centre of Occu~cy i~ed) ~ 18 mont~ of ~e ~ce dar~ ~ I s~c~ ~ ~ subj~r to thc ~ner~ A~ve R~ of thc S~te of InCa (S~ 675 IAC 12) ~g ~ira~on ~e f~ for ~g ~d compl~ng cons~c~on, I, ~c und~, ~e that ~y cons~c~on. ~ons~c~on. ~em~L rd~aon, or ~t~a~on of a s~c~re, or ~y c~ge ~ ~e u~ of ~d or s~c~ ~r~ by ~s apphcaflon ~ ~mply ~, ~d co.om to, ffi apph~ble hws of &e S~te of ~a ~d ~e 'Zo~ ~ce of C~d ~- 1993 (Z.289)~,adopr~un~au~o~ofI.C. 36-Tets~,G~semblyof~eS~teof~a~d~Ac~m~ ~to. I ~ c~ ~t offiy ~r~, ba~, ~d fl~r ~s ae co~ecr~ to ~e s~ ~. I ~h~ ce~ ~t the comt~c~on ~ not ~ ~ . .~' . Rling F~: ~ unaer Sl~,,hi~,t [n~carnoli~nce with al re~Vn~ ~ / ~m R~e~ G~T'¥ OF QA~aM NSHIP (Date) Additional Fees Whic~ ~-~rnational ResidenUal Code w/Indiana Amendments [] Uniform Plumbing Code w/Indiana Amendments (Multi-Family Const~'uction Code) - - :2; ,N --- i:: (Check all that apply for the new