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HomeMy WebLinkAbout05080241-ApplicationRESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures PHONE FAX RD: __ OWNER: & PRO3ECT~ INFO: ~°"sr~UFn°" ~ '~ ~/// b/ ~, ~PE F ~: M ~: PLU~ONT~ ~OWN HOME ~ ..... . ~ ~ ........ ~~ R~H ADD~ON(S) Plum tuna _ ~.r~,~,~, ~RCH ADDmON(S) O~ J~ __ ; ot un~: REMODEL U .~Lc~:~r;2 ACC~RY BUILDING~Whlch .,.mbing ~w, ll D~ACHED GA~GE~ ~, i~al R~iden~al C~ w/Indiana Amend~n~ ~ R~IDEN~L [~r ~a Addi~ons, Rem~els. E~.) O~ 8 with ~ ~m~ng ~e w/Indiana ~e.dmen~ ~~.~ ..... LOCei COOl.glO-Family ~on Code) PRO3 - - ;- -- -: ~I ~ ~I¢} Eany Rel~se Manuf~ O~ ~i~M~/OJN/~~: (Ch~k all ~t apply for me new Pe~it: ~ .~' ' Tru~ .~q~ ~ C~W~PACE Lot~lit: Y~ SumpPump: ~~ ~B 0 B~EMENT ~ any pa~ of ~e ~ lie wi~in a s~al FI~ d~igna~on ama: Y ~o~ S~c ~ ~ Two ~ ~wc~, ~ido~ ~m~c~, ~Wo~ ~cc~ s~c~r~, r~ pc~ ~s v~ o~y ~ co~s~cdo~ co~c~ l, ~ ~, ~ ~c ~ ~c~o~. ~co~s~c~o~ ~cm~[, ~o~oD, o~ ~ado~ o[ a s~c~c, o~ ~ ~gc ~ ~c usc o~ ~ o~ OFF/CE USE ONLY: ************************************************************************ Filing Fees. ~ INSPECTIONS Base Ins~ ons ~ # Charged Re- Reviews Cert. of Occupancy: __~ Final Site Services (Date) Reviewed/Appr~'Ved: Dept. P.R.I.F.: ~ Additional Fees