HomeMy WebLinkAbout05080187-Application,',,'m,, #, ¢_'_:¢ ?
, MulU-Family,,
New Structures, Additions, Remodels, & Accessory Structures
STATE
PHONE
SEWER UTLrTY
PROVIDER:
NAME OF U
NUMBERS; TAC DATE(S);
ADDRESS OF CONSTRUCTION q I~
WATER UT[LTTY
SQUARE
FOOTAGE:
COST OF CONSTRUCT[ON:
FAMILY
[] TWO FAMILY [] PORCH ADDTT[ON(S)
# of units: [] REMODEL
[] MULTI-FAMILY [] ACCESSORY BUILDING
# of Units:~ [] DETACHED GARAGE
[] RESIDENTIAL (For []] AI-FACHED GARAGE
Additions, Remodels, Etc,) [] DEMOLZTZON
E=.rlyR, lease ~y~N Manufactured ._~y N construction,m,)
Permit: Y N Trusses: ~ CRAWLSPACE [] POST
Lot Split: Sump Pump: __Y N .~ SLAB [] BASEMENT
Does any part of the property lie within a special Flood designation area: N WALKOUT: Y__N
~-Intemafional F
~ppltc~blc hws of thc S~tc of Indi~n~, and thc "Zomg O~inancc
G~ ~e~ly of ~c S~te of ~a, ~ ~ Acts am~W~
z s~. I ~h~ c~ ~t fie cons~cuon
Co~ty Se~c~. ~el, InCa.
OFFZCE USE ONLY: Filing ~s:
~Ins~ons: ~~ ~0' ~a~R~Revie~
~wer F~Un~ ~. o[ ~cupan~: ~
~dd~onal
~.R.I.~.:
TOTAL:
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