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05090230-Application
Additions, Remodels, & Accessory Structures 317.80 .£ 1 Fox517-84 389 BEST METHOD OF CONTACT: FAX PHONE OWNER: LOCATION SEC~OH & PRO3ECT / S~UARE PROVIDER: (EXCLUDING LAND VALUE) NAME OF UTILTTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOC~ //~/ - E- -;- ~- -:- - --: -:PE M'R, - .: [] SINGLE FAMILY J~ NEW STRUCTURE ~L TOWN HOME [] ROOM ADDiTiON(S) : License #: TVVO FAMILY [] PORCH ADDTF[ON(S) # of' units:. [] REMODEL -- [] MULTI-FAMILY {~ ACCESSORY BUILDING Which plumbing CO¢Ie~ will be applied to the construction:' # of Units: [] DETACHED GARAGE J~] Zntemational IZ] RESIDENT[AL(For [] A'rrACHEDGARAGE [] Uniform Plumbing Code w/[ndiana Amendments Additions, Remodels, Etc.) [] DEMOI_TTJON (Multi-Family ConsLruction Code) . F~ ~~.~ all that apply for the new Early Release t4anufactured /~ Y R~j~S Permit: Lot Split: Y __~N Sump Pump: Y ENT Does any part of the property lie within a special Flood ~ Y N For S~gtc Faz~ly a~d Two F~m[l¥ dwc[l~gs, w~d~ ~80 da~s o£ ~hc ~ecc ot* [ssu~mcc o£ thc ~sua~cc ct~c. ~ chc Gcacra] Admia~cr~dvc ~ulcs ~m¢ ~m~s £o~ bci~m[ag ~md completing co~sCmcdoa. L d~c u~dc~signcd, agree d~c ~y co~s~uc~o~, ~cco~ucdo~, ca[~cmc~c, ~cto?~o~, o~ s~ucCc~cs ~ucsc~t by r~s appUc~do~ v~ comply v~d~, a~ co~o:m co. ali ~?p[~caS~c [aws L~i~ - ~993" (Z-289~ a~d ~mc~mc~cs, adopccd u~u~c~ ~uchodC7 fl~c~cm, ! ~u~d~c~ ccr~7 r~ac o~ly t~cchc~.5~r~. ~d floo~ ~ ~¢ co~_~cccc~ c u ~. 'or occupi~t until a ~Ce/.~/~care q/Occ,pm'~cyhas b~m issu~l by thc D~p ~a~mcn~ of Communit'. Carmel. Indiana. OFFICE USE ONLY: ************************--**************************** Filing Fees: ~~) # Charged Re- Inspections: p, eviews of O upan y: __5/· P.R.LF,: ~ Additi------~nal Fees TOTAL: Reviewed/Approved: Dept. of Communib/Services (Date)