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HomeMy WebLinkAbout05080038-ApplicationCity of Carrnel/ Clay Townshil~ ~ Permit #: RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures PHONE PROPER~ ~e ~o~e OWNER: ~e~ ~ ~ ~ ~ ~ L~.~N LOTg ~ ~BD~SION~E ~ ~ON m ZONING' & PRO3E~ ~NF~: ~D~ OF CON~U~ON ~ ~U~ FPO{ __ zF: _- ~__ : SINGLE FAMILY TOWN HOME TWO FAMILY # of un~: [] MULTI-FAMILY [~R~Of Units:__ IDENTIAL (For [~REW STRUCTURE OOM ADDITION(S) PORCH ADDITION(S) [] REMODEL [] ACCESSORY BUILDING [] DETACHED GARAGE [] ATTACHED GARAGE [] Znter~/~[~p~l q~d~e~l ~/Zndlana Amendments Additions, Remodels, Etc.) [] DEMOLITION Earl Relea- '// Ma.u,..~ured /-, -- -1/ONi~f-~L~N(~heckallthatapplyforthenew Per'lit: Y :/N ~r~sses: Y LotSpllt. '-Y..~.~ · SumpPump, Y~N ~ SLAB --/~ BASEMENT v~thJa 180 days or' t_~¢ date o£ lssu~mcc or' thc ~uiJci~g pcmmic, ~ must tm comp]ccc~ (Certificate of Occupaac¥ LSTSUC months of thc [ssua~cc dace, C;~ss [ st~uc~ !m~a~i[s ~c subj~c ro thc ~c~ A~a~vc ~c ~ ~o~ ~i~g ~ comp1c~ag co~sc~cdo~. ~- 993 ~g~m ~ ~er or Au~ ~ent P~ Da~ )F~CE USE ONLY: **************--***********--********************-- Filing ~s: ZNSPEC1/ONS REqUiRED: Lower Footing Under Slab (Date) Base Inspections: - ~ · # Charged Re- Reviews Cert. of Occupancy: ~ P.R,I,F.: Additional Fees