HomeMy WebLinkAbout05100049-ApplicationPermit
,dZLDER of
RECORD:
PROPERTY
OWNER:
8UILJ~ER'S EMA~L ADDRESS
~ Structures
PHONE J ~ ~ FAX
PHONE FAX
STREET ADDRESS ~ C~TY STATE Z~P
SECTION ZONING: ~'~
LOT # ~ ~
[NFO:
SEWER UTiLiTY (EXCLUDING LAND VALUE)
PROVIDER:
BPW DOCKET
NAM : PERMIT #'5 (IF APPL~CABL~):
NUMBERS
L B:N C.N:'_-- O=:
ments
[] Uniform Plumbing Codew/Zndiana Amendments
(Multi-FamiN Constru~on Code)
~ CP~W~SPACE [] PO~T & BE~J~
Does any part of the property lie within a special Flood designation area: Y A,' N WALKOUT: Y~N
# Charged R~
~--~ Base Inspections: Reviews
Under Slab
Cert. of Occupancy:
P.R.I.F.: ) (~ Additional~
:. c Services