HomeMy WebLinkAbout05080222-ApplicationSTREET ADDRESS
i HUlti-F~IY: NeW StruCtUres, Additions, Remodels, &A~r~
PH~)NE FAX
(EXCLUDING LAND VALUE)
STA'~E
STATE
SINGLE FAMILY
TWO FAMILY
# of units:
MULTI-FAMILY
# of Units:_
RESIDENTIAL (For
Additions, Remodels, Etc.)
-'-- ~ ,~ ENT.:
NEW STRUCTURE
ROOM ADDITION(S)
[] PORCH ADDITION(S}~
[] REMODEL
[] ACCESSORY BUILDING
Permit: Trusses:
Does any part of the property lie within a special
rea)
CRAWLSPACE
~(~.SLAB
Y ~N
,: (Check all that apply for the new
[] POST & BEAN
[] BASEMENT
WALKOUT:_ Y
accessory str~ctures, thispermit is valid only i!r constructio~ commences
at'Indiana (See 675
or alteration of a structure, or any change in the use
with, and confonu to, all applicable hws o£ the State o£ Indiana, and the "Zoning Ordinance o[ Cannel
ader authority o£ LC, 36-7 et seq, General Assembly o£ the State o[ Indiana, and all Acts amendatoI7
[ floor drains ~re connected to the sanitary sewer. I [urther certff7 that the constr t~ction win not be
by the D~epa~tment o£ Community Services, Cannel, Indiana.
Cert. of Occupancy:
.R.I.F.:
TOTAL:
Reviewed/Approved :ommunity Services (Date)
/