HomeMy WebLinkAbout05090185-ApplicationT ADDRESS
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IlVIPROVElV[ENT LOCATION PER_MIT APPLICATION
New Structures, Additions, RemOdels, Tenant Finishes, & Accessory Buildings
PHONE FAX
6 e ~ -q ~oo --
SUHE # (If Applicable)
INFO:
of Shell Building (If different Ran Address of Construction)
BUB-DING, PROSECT, OR TENANT NAHE:
ZOI~NG:
md Subdivision (IfAppficable)
STATE COHMERCL~L
DIELR[GN RELEASE #:
WATER UT[LZrY
PROVIDER:
[] INST1TUT/ONAL [] Munidpal/Public Btdg
[] School
[] Church
0 SU~B
[] POST & BEAM C~I BASEMENT
(or POST & PIER)
BLDG, CONSTRUCTION TYPE:
OCCUPANCY CLASSIFICATION:
[] NEW STRUCTURE Early Release Manufactured
[] ADDmON Permit: Y N Trusses: _Y N
[] Raom(s)
[] Porch Lot Split: Y N Sump Pump: Y N
[] Mezzanine or Deck Does any part of the property lie within a special Rood
--1 REMODEL
ED NEWTENANT FINISH designation area: YN
[] ACCESSORY BUILDING .'= ;: N ; NT: -: .:
[] DETACHED GARAGE
[] ATTACHED GARAGE
[] CELL'lOWER (New) ~ State License #:
are connected tc
:onstruction will not be used. or occupied untit~
,Indiane.
~- ZT-- 05'
Final
Base Inspeddons:
Ce . of Occupancy,
Additional Fees