HomeMy WebLinkAbout05080183-Master PermitCITY OF CARMEL
_MASTER PERMZT APPLT. CA'TT. 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) . The address of this Lot is
The Master Plan File on record with Permit Services is: (Name of Model)
bu/Id l`he same sl`ructure ~.hal` /s represented/n the
on record w/l`h Perm/l' Ser~/ces. Any all`eral`ion to
l~or Rev/s/ons ~
Under the penalties of perjury (Znd aha Code 3§-44-2-1), Z hereby affirm under oath that
all of the information 3: have provided In this Master Permit App~ Ication is true and accurate
to the best of my knowledge and belief, and .that Z have not knowingly 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
Mast erPlanFile/Maste~ Permit
Application
Est. June 1999