HomeMy WebLinkAbout05080251-ApplicationRECORD:
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OCATION PERMIT APPLICATION
Family, Hulti-Family, & Two Family: New Structures, AddiUons, Remodels, & Accessory Structures
PHONE
STATE
FAX
PROPERTY
OWNER:
STREET ADDRESS
PHONE
FAX
SECTION ZONING:
SQUARE
FOOTAGE:
NUMBERS; TAC DATE(S);
t BZA I
COUNTY WELL AND/OR SEFI'IC PERMIT #'S
--P- - V ~:- :
[] NEVV STRUCTURE
[] ROOM ADDITION(SI
[2)/ PORCH ADDrrION(S)
[~' REMODEL
within 180 days of the date of t~suance of the bull ~. ~l~ ,e~em~, ,ont ns or. ttt,e
th~c framc~ for beginning and comLb~g~e~t~l~ i'~' ~"~ '..'odes.
structures r,e~.~ ested by rhts application will comply wrh, a~d conform to, all applic~_d 1~ .x~. rl~ J~~~.~Z~6,~ ~mmmance
[aclia~a - 1993 (Z-289) m~d ammclments, adopted under authority of LC. 3~7 et s~q, Ge~.ezal Assmb~¢i~/~~to~
thereto. ! furthe~ ce_~y that o~y k~tch~m, hath, and floor dra~s ar~ ~o~nected to the samtary s~wr. I. fu ~t~.~that t~ ,c. onsttuct~on wm not
~ occupied until~-t~eat:¢ o[Occnp~,ac, yhas beeJ~ i~ed by the Depattraent of Commumty S~rvlc~, Carmel, Indiana.
Si ature of Owner or AUtllor~ed Agent ~rt~__
Filing Fees:
XNSPECTXONS REQUXRED: Base Inspections: ~ /?/~. C~ # Chained Re-
Under Slab Cert. of Occupancy: ~ L ~'(J Reviews
AddiUon~l Fees