HomeMy WebLinkAbout05070037-ApplicationBEST METHOD OF CONTAL-I': L~/ ~)
SUITE # (If Appflcable)
zip
I Building (If different Nan A
LOt # and SubdMsion {If Appflcable)
b-rATECONMERC~AL OF o FDN o b'TR o ARCH O MECH o PLUM S~UARE
DESIGN RELEASE #:
PROVIDER: PROVIDER: ~jOf~ ~.~ (EXCLUDING LAND VALUE)
PLAN COMMISSION / BZA / BPW DOCKET NUMBEP~; AND/OR
Elevater or Lift: 0 YES
Early Release
Permit: Y -'~H Trusses:
'~ [] Room(s)
[] Porch
~r Deck Does any part of the property lie within a special Flood
designation area: . Y_~N
FINISH
ACCESSORY BUILDING pm
CRAWL SPACE
BASEMENT
(or POST 8, PIER) WALKOUT:Y_
[] DETACHED GARAGE
[] An'ACHED GARAGE
[] CELL TOWER(New)
[] CELL TOWER CO-LOCATE
DEMOLITION
ye connected to ~e s~nim.--y sewer.
Plumber's Indiana State Ucense #:
r~diaua (See 675 IAC ]
thereto. I further certify that only
is~md by the Department of Community ~rvices,
print 7
(Date)
INSPECTIONS REQUIRED:
Under Slab
Site
Cert. of Occupancy:
Charged Re-
Reviews