HomeMy WebLinkAbout05080182-Master PermitCITY Of CARMEL
MAS. TEE PERMIT APPL. CAT"ZON
,E~uilder:
The undersigned hereby applies to the City of Carmel, Permit Services office
for an Tmprovement Location Permit (ZLP) for Lot /~/O/in (Subdivision
0 C~ r ~)~]~(LO/'t' . The address of this Lot is
ama)
The Master Plan File on record with Permit Services is: (Name of Model)
Applicant hereby agrees to build the same structure ?.hat is represented in the
ag'proved ~ast~r Pla. File o. record w/th Permit Ser6'ces. A.y alteration to
subm/f?/n9 an ~or Revisions to
Under the penalties of perjury (Zndiona Code 35-44-2-1), Z hereby affirm under oath that
all of the information Z have provided in this Master Permit Application is true and occur'ate
to the best of my knowledge ~nd belief, and .that Z have not I~owingly or intentionally
provided or omitted any information that would tend to hide, obscure or otherwise mislead the
Dept. of Community Services regarding the truth of the matters addressed therein.
Name of
Name of ~licant
M~ste~PlanFile/Maste~ Permit
Application
ESt. ~Tune ~.999