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HomeMy WebLinkAbout05090200-ApplicationRECORD: OWNER: & PRO3ECT ZNFO: City of Carrnel/ Clay Township COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION For Commercial or ZnstituUonah NewSttuctures, Additions, Remodels, Tenant Finishes, &AccessoryBuildings SIREET ADOR. ESS /~' f~ ~' Q'CC STATE BUILDER'S EMAIL ADD~I~SS ,~ . BEST H~FHOD OF CONTACT: PHONE FAX STR~ ADDRESS ADDRESS OF CONSTRUCTION ~ of Shell 5UrCE #~ ~L~(If Applicable) Lot # and SubdMslon (If Applicable) BUILDING, PRO5 ~T, OR TENANT NAME: ZONING: STATE COMMERC/AL SCOPE(S) OF O FDN DESIGN REL~ #: RELEASE: ~ EL~C WATER UTILITY SEWER LrfILITY PROVIDER: PLAN COMMISSION t BZA / BPW DOCKET NUMBERS; AND/OR COUNTY WELL AND/OR SEPTIC PERM,1' #'S (If Applicai~e): - F --; -1 TYPE , :- "EM:-=-' : .E ! : - 1'[ :N: Eady Release Manufactured Permit.' Y _~N Y _~__N Lot Split: Y/e::~_N~'~ Sump Pump: Y ~N Does any part of the property lie within a special flood designation area: Y._~N MB!N _ - - _~: Plumber's ]:ndiana State Ucense #: ~ COHMERC~L [] NEW STRUCTURE (Privately owned hospitals [] ADD[~r[ON and medical ofllces/cen:ers [] Room(s) are commercial) [] Porch [] INSTtTIJTJONAL [] He~zanineorDec~ [] Nunidpat/PublicBIdg [] REMODEL [] School ~1 NEW TENANT FINISH [] Church [] ACCESSORY BUILDING which [] DETACHED GARAGE (or POET & PIER) WALKOUT: ZNSPECl'[ON$ REQUI'RED: Filirlg Fees: / ~)A/~', ,~'_~ Upper Footing Lower roofing Under Slab ~ase Inspections: ! - ,,~0 # Charge~ReviewsRe- Site Cert. of Occupancy: Additional Fees