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HomeMy WebLinkAbout05080064-Application City of Carmel/Clay Township Perm~ #: RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures UILDER of PHONE FAX ECORD: BEST METHOD OF CONTACT: OWNER: & PRO3ECT INFO: / BZA / BPW DOCF. ET AND/OR COUNTf WELL AND/OR SEPTIC PERM1T #'S (IF APPLICABLE): -- · N - --' -d: ~jSINGLE FAMILY ~r TOWN HOME [] TWO FAMILY # of units: ~J~UL~-FAMI~ j ~ ~ ~[DEN~AL~r ~ Addi~ons, Rem~els, E~.) - ~:~N : L- ~_: Eady Relmm Pe~it: Lot Split: Eb-r[MATED COST OF o© TY :F~: ~L;~/C~rRUCTURE [] ROOM ADDirHON(S) [] PORCH ADDirFION($) [] REMODEL ~ Trusses: Sump Pump: bL/C ~,Uniform Plumbing construction ama) [] CRAWLSPACE ~ [] BASEMENT WALKOUT: Y.__~) rructures, this permit is valid only if construction commences must be completed (Certificate of Occupancy issued) within 18 months of the (See 62'51AC 12) regarding expiration time from? for beginning and completing construction. reconstructao~, enlargemanr, reloca~on, or alteration of a structure, or any ch~ange in thc use oftand o: and cenform to, all applicable laws of the State of Indiana, and the Zo~fing Ordinance of Carrne] y of LC. 36-7 ct seq, General Assembly of the State of lndiana~ and all Acts amandatory , sc. ve~. I further certify that the construction will not be REQUIRED: ~~munib/Services Df Occupancy: P.R.I.F.: TOTAL: # Charged Re- Reviews AddiUonal Fees 0