HomeMy WebLinkAbout05090041-ApplicationP e ~~~rmit No.: ~
O~ER:
Phone X~Fax ~t )
2~t 2.- 5~,1~- ~U~,5-P(/ff3k
P.O. Box / Address City State Zip
Name Phone Fax
Street Address q City State Zip
LotNo. STFi~CTI(5M Section
Location: State
~N ~T~ SQ~TAGE:
F100d Zonei Y/N
Auto Filter: Y/N
.~p~/t - Pool Cover: Y/N ~
Septic System:Y/N
must gain approvals through the
Zoning
z~p
For Commercial Pools, state
Class ~uilt:
Commercial Pools - provide
Sta~ Rele_ase No.:
~1 Codes 675/AC I0-4-27 "Safe~ Features". Egress systems
handrail installed to specifications of the Indiana Pool Code.
relocation or alteration of slracture, or any change in the use of land or structures requested
laws of the State of imdiana (for residential pools, 675 IAC 20-1.1-I through 20-I.1-22 and 675 IAC
Zoning Ordinance of Carraet, Indiana- 1980, adopted under the authority of
of the State of Indiana, and all Acts amendatory thereto,
~ through a right-of-way, not containing an established driveway, the applicant
or the Hamilton County Highway Dept. t773-7770).
(Whichever is applicable.)
rti' that the improvement / swimming pool ~tB~d or occupied unfit a Certificate of Occupancy has been issued by
nae~ ,t of Commtm/ty Services Carmel, Ind~fiKa. c)/ )
..--, / 1//%/r. - c/o)
~ FEES: Permit Fee:
oI tg~mer or Aumonzect 2xgent · -
(Print)
BZA Approval: Y/N [~
(Phone No.)
f Community Services
Al~l~!icafion Kev. Aug. '01
x'~-~nspection Fees:
Cert. Of Occupancy:
~, TOTAL:
F&rl/eceived by: