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HomeMy WebLinkAbout05090093-ApplicationGCity ofCarmd/Clay To~nsAip Permit # RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUZLDER of RECORD: PROPERTY OWNER: LOCATION & PRO3ECT -- __ mFn: ..-~ ADDRESS OF CONSTRUCTION ra.e OF u~u~ ~xc~v^uo. CO.TeACroe; NUMBERS; TAC OATECS); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S - E· - , N: - ~---IM - '-- N_-: [] SZNGLE FAMZLY d~[] NEW STRUCTURE [] TOWN HOME ~ , :;v.,..,17.,-~ ~ ~ PORCH ^DDrrlON($) ~ or units: /~ [] REMODEL [] MULTI-FAMZLY [] ACCESSORY BUZLDZNG ~ # of Units: RESTDENTIAL (For [] DETACHED GARAGE [] ATI'ACHED GARAGE Additions, Remodels, Et:.) [] DEMOLITION PHONE FAX -: ~t~,:2. 'O~L .~.' . : '.- ._ (~UDING ~ND VALUE) ~ ~ ~ Which plumbin ED International [] Uniform Plumbing Code ~ (Mull~-Famlly Construc'don Code) ~ Manufactured ... . Y '/ ~ Tresses. Y /--" N_ .,~ ~ ,-,~ .~ ' ~ ns · cRAw _ ~.t~ ~o~ S~ ~a~y ~ Two ~y dwe~gs, a~t~o~s, tcm~, ~ot acc~ s~c~t~, ~ ~t ~ v~ c~oa co~cac~ . ~ 180 ~s of ~e ~te of ~ce of the ~fl~g~t, ~d must ~ compl~ (C~cate of O~up~cy i~ed) ~ 18 monks of ~e ~ ~te. CI~ I ~ ~ ~ subj~t to the ~n~ Ad~a~ve K~ of the S~te of ln~a (~ &T5 IAC 12) r~ng ~e [~ for ~g ~d comple~g I, ~e unde~ed, ~ee ~t ~y cons~c~on. ~cons~cfio~ ~e~L rd~a~on, or ~t~a~on of a s~c~r~ or ~y ~ge ~ ~e u~ of s~c~es ~ested by ~ app~ca~on ~ comply ~, ~d ~om to, ~ app~cable hws of ~e State of M~, ~d ~e 'Zoos ~ce of C~ ~- 1993 (Z-289) ~d ~, a~pted und~ autho~ of LC. 3~*? e~ ~, Gen~ ~s~ly of ~e S~te o[ ~, ~d ~ Ac~ ~to~ · ~e~. I ~ ~ ~at o~y ~. ba~ ~d fl~r &~ ~e co.<ted to ~e s~ sew~. I ~h~ ~ ~t ~e ~ns~c~on Lower FoOting Under Slab Cert. of Occupancy: Meter Base P.R.I,F.: Reviews AddilJonal Fees