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05090089-Application
BUILDER: Pool / Spa Co~struclion Location: Permit Application P.O. Box / Address Name Street Address Subdivision Phone Fax ~ ~ 7 i g37-110.-~o { City Sate Zip Phone Fax , CRy Sta~e Zip · %etlon Zonin~ / ----- City State Zip F.~iro~ed Cost of Conslmclion: {Pool snd Deck} pool ~eated: Y/N fflood Zone: Y/N Auto Itiker: y/N TOTAL SQ. FOOTAGE: R~'PE: .----- {pooland Deck} ~~.~ ~ Y/N [-'U]---'I ~or Commemial Pools, stUe ~t~/N I I ] I Oontrner~ial Pools - pro, id drainage on~ Sta~ j Indiana Swimming Pool Code~ 67S IAC 10-~-27 .Safely Features'. E~'e~ systems St~ ~mmres (lneludln~ pool oovers) ~ a handrail infmlled to speeifleaflons of the Indiana Pool Code. thtttnvolvestepswlththFeeo~ .... , -.,.N ~,snvcl~Bfn~euseofl~ntlors~l~t~l ~lo~flon or s~emum~ ot Buu,.,,,,-, -.~ $.,, · ;% ~a ~ 1-1 ii, fourth 0-1 A-ii and 675 IAC .f.lte~l~.al~neda~-eesguttany ,c~.~__. ...=_.~. ,jj,,~ltcablelaMoftheStaieoflndlma(fcrre~identislP~°ls,°t= .~.t''v"~.^ a~[ed2u~er~heauthorltyof bythJsaplflicali~,wlllcomply ..... ,~,*^~, tou...,,ol, 20.3.~lsndlheZontnsO~dtnanceofCnnmel, Inalana t~,av, a -~ lik4-I lieou~h 20-4-2'/; ~nr ~hl pools, eft= u,t.t.f.v - t_?._?_ ".~.'~. ~ ~ i,~,~ ~M iii Acta nmendaU~y lhereto, Am of ~ ~';9, PubJte t~w r/8, Sec. t, ~. Se~., ~nem Anemo,~ o- ,,,. ~_ ~'~ ?~.k-U FO~c£1al~m~ ~,.~,-..~o~.6e8 8r~ve~y, tAe aplolicant ~lch~r ~ ~flicable.) ~ ~ ~ ~en ~sued by I ~Y ~ ~ ~e ~p~m~ / s~ 'or Authorized A~nt ~ {phone No.) BZADocket No.: ~ DM~: FEES: Permit Fee: Inspection Fees; ~ Cea. Of Occupancy: TOTAL: Fee Recelvea ~;: