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HomeMy WebLinkAbout05080285-ApplicationOCity of Carmel/Clay Township COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings ~ PHONE FAX RECORD: - '-' :~: - -'~-- -~-: ._ ~ . - · ~'~ ~ -~ ~ ~- ' i~__ '- , - OWNER: - · - '- , ~ _ LOC~,T~O N ADDRESS O~ ¢ONSTRUCIION surrE # (if Appflcable} & PRO)ECT INFO: Add--ding (If different than Add~~tf Appllc~.ble) ~UI~OING, PROJr:CTt 0 ~E$ICd, I REI. f~E #: FOOTAGE' 2 w^r~wauw ~n ~~al ~sn~almCos'ro~cONSmU~ON: PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR r Uff: [~ YES ~ ,'-~ : V (~ Mezzan ne or Dec~ ~ .~ : ~'NEqNTENANTFINISH ~ ACCESSORY ~I~ING ~ D~A~ED ~GE area) ~ A~ACHED ~GE ~ C~WLSPACE ~ ~W~(N~) ~ & B~ ~ ~E~ ~ CE~ TOW~ ~L~ (~ ~ & PIER) W~O~: Y N ~ DEHO~ON C~ I s~c~ ~ ~e subj~t to ~e ~e~ ~ve Eu~ of ~e S~te o~ ~ (See 675 I~C ~u~d by ~ app~Ca~o~ ~)I comply wx~, ~d co=~o~ to, ~ ~pp~c~bIe ~ws o[ ~c State o[ [n~a, ~d ~ ~ ~cc ~rch~ ~, ~d ~or ~ ~ conn~t~ to the s~t~ ~wer, I ~ c~ ~ ~e ~ns~cfion ~ not ~ used or ~cupi~ ~ a C~re of O.1: - - --_T~ :N: Manufactured Trusses: Y ~('N Lot Split: Y_~_N Sump Pump: Y_.~N Does any part of the property lie within a spedal Flood OFFICE USE ONLY: ************************************************************************ S REQUIRED: Filing Fees: Base Inspections: Lower FooUng # Charged Re- Reviews Additional Fees