HomeMy WebLinkAbout05080180-Master PermitC]:TY OF CARMEL
MASTER PERMIT APPL'rCAT ON
Builder: ~ Date:
The undersigned hereby applies to the City of Carmel, Permit Services office
for an Improvement Location Permit (ZLP) for Lot ~ in (Subdivision
Name) ~~ ~{C~L'OxF). The address of this Lot is
The Master Plan File on record with Permit Services is: (Name of Model)
agrees fo bu/Id fhe same sfrucfure ~.hal /s represented
?fie on record w/lh Perm/I Ser~/ces, ~ny a/teral/on
subm/~/ng an ~ar Rev~s/OhS to
Under the penalties of perjury (~ndlana Code 3§-~-2-:%), ! hereby affirm under oath that
all of the information Z have provided in this Master Perm t Application is true and accurate
to the best of my knowledge and belief, and ,that Z have not k~owingty or intentionally
provided or omitted any information that would tend to hide obscur~ or otherwise mislead the
bept. of Community services regarding the truth of the matters addressed the6ein.
Nan plicant or or
MasterPlanPile/Master Permit
Application
Est. ~Tune 1999