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HomeMy WebLinkAbout05090130-ApplicationPermit Multi-Family, & Two Family: BUILDER'S ElVlA~L ADDRESS LOT # SUBDIVISION NAME WATER PROVIDER: DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #~J (IF APPLICABLE): PHONE AddiUons, Remodels, & Accessory Structures -2ZSl Esr[MATED COST OF CONSTRUCT[ON: (EXCLUDING LAND VALUE) ~-~.~ O ~ TWO FAMI,L.Y # of units:~ MULTI-FA~!LY # of Units:~ ~ NEW STRUCTURE [] ROOM ADDITION(S) [] PORCH ADDITION(S) [:] REMODEL [:) ATTACHED GARAGE [] DEMOLITION (Multi-Family Construction Code) (Check all fN [] POST & BEAN WALKOUT: if construction commences Occupancy issued) within 18 mondm of' the ~ Indiana (See 675 lAC 12) l-cgarding expiration of land or seq, General Assembly of r~e State of lnd~, a; further certily that the ~y the Department of Community Services, Carmel, lndian~ OFI~CE USE ONLY: P.R.I.F Additional Fees (Date)