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HomeMy WebLinkAbout05080028-ApplicationTownship For Single Family, MulU-Family, & Two Family: New Structures, AddiUons, Remodels, & Accessory Structures RECORD: ~ ~ ~ r ~ ~ ~ ~ ~ PROPERTY OWNER: LOCATZON LOT # SUBDiViSION NA~E & PRO3ECT ZNFO: ADD ESS OF co s'muc-no p~$~R UT~UTY ,; PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; TAC DA'T~{S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPL~CABL~): -~E =, : ~ l: _: O S[NGLE FAMILY [:3 TOWN HOME [] TWO FAMILY # of units: C] MULT[-FA.,M!LY · ~ Un~:~ ~ R~IDEN~L (~r ~ditions, Rem~els, E~.) - Z~ '--' MENT: 0 NEW STRUCTURE ~ ROOM ADDTI3ON(S) PORCH ADDITION(S) [] REMODEL [] ACCESSORY BUILDING [] DETACHED GARAGE [] ATt'ACHED GARAGE [] DEMOLITION Trusses: Y _~N PLUMBTNG ¢ ~ 2J~O! Wh~ plumbing ~ will ~ appll~ ~ ~e ~on: ~ Zn~maUonal R~idenUal C~e w/Zndiana ~endmen~ ~ Uni~ Plumbing C~e w/Zndiana ~endmen~ (Mul~-Family ~on Code) F ,I ~m- I -P : (Ch~all~atappN~r~e~ ~on ama) B~EME~ W~O~: Y~N of'thc State of InclLana (See 6751AC 12) regarchng expiration of Occupcmc?has been issued by the Department of Community ~rviccs, Carmel, Indiana. Cert. of Occupancy: TOTAL: Reviewed/Approved: Dept. of Community Services (Date)