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HomeMy WebLinkAbout05090015-Application Permit; For Single Family, Hu~New ~r~, Addi~ons, Re~dels~ & A~ ~ RECORD: one PROPERTY OWNER: PHONE FAX ZIP ~ SINGLE FAMILY TOWN HOME [] TVVO FAMILY # of units: [] MULTI-FAMILY # of Units: C] RESIDENTIAL (For Additions, Remodels, Etc.) Early Release Permit: Y )< N LOCATION zoNm~: & PROJECT SEWER UTiUTY ~. ~ .~ WA~ ~/~/~ ~~D/oINUMBE~; TAC DA~(S); ~O/OR COU~ WE~ AND/OR~S~C ff~ ~ (IF A~U~)' .~ ~ }2 ~( ~- N~ ~RU~RE /~{.}~' ~ R~M ADD~ON(S) 8~ Li~n~ ~ ~MODEL ~ ACC~RY BUI~ING ~l~ ~umbing ~ will ~ a~li~ ~ D~ACHED GAUGE ~ In~ma~onal R~denflal C~e w/Indiana ~endmen~ ~ A~ACHED GAUGE ~ Uni~ ~umbing ~de w/lndia~ Am~d~n~ ~ DEMO~ON (Hul~-Family ~n~on C~e) ~anufa~u~ /~1 (Check all ~t a~ly ~r ~e ~w True: ~Y ~N ~ ~n~on ama) ~ C~W~PACE Lot Split: ~ ~N Sump Pump: ~-Y ~N ~ S~B ~ B~EHENT D~anypa~ofthepm~liewi~inas~alFl~ddesignafionama: Y ~ N WALKO~: y X N Fo~ S~c F~y ~d Two F~y ~w~. a~doas, ~cm~ds, aaWo~ a~so~ s~cm~. ~s pc~c ~s v~d o~ly ff co.sc~cc~o~ commcnc~ ~c~ ]80 da~s o/~c dace o/~u~cc o~ r~c b~g ~. ~ muse bc comp]c~ (Cc~c~cc o/Occupancy i~uc~) S~m ~ ~r A~z~ ~nt Pfl~ OF~CE USE ONLY: ************************************************************************ INSPECTIONS REQUIRED: Under Slab )ept. ofCommunityServices Filing Fees: __~ Sase Inspections: ~ # Charged R~- Reviews Cert. of Occupancy: P.R.I.F.: ~ Additional Fees