HomeMy WebLinkAbout05090018-ApplicationCity of Camel~Clay Township
RESIDENTIAL IMPROVEMENT
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessmy Structures
PROPERTY
OWNER:
PHONE
FAX
STREET ADDRESS
SUBDMSION NAME SECTION
SEWER UTI Lt-P,f
PROVIDER:
~o~ oPCON~U~.o. 1 1 5 / o
SQUARE
NUMBERS; TA~
A~ILY
C3 TOWN HOME
[] TWO FAMILY
# of units:
[] MULTI-FAMILY
# of Uni~:. _
~ R~IDE~ (~r
~d~ons, R~els, Etc.)
~NEW STRUCTURE
[] ROOM ADDTHON(S)
[] PORCH ADDTHON(S)
[] REMODEL
[] ACCESSORY B
[] DETACHEE
[] ATTACHED GARAGE
[] DEMOLITION
Uniform ~i~e w/Indiana Amendments
(MuM-Family Construction Code)
~ Hanufa.ctured /
y v N Trusses, . t~_
----Y ~ Sump Pump. __~ N [] CRAWLSPACE
[] SLAB
property lie within a special Flood designation area:
(Check all that apply for the new
[[~'~EMENT /
WALKOLrr:y ,M/N
Print
OFFICE USE
ONLY.
Hling Fees:
Base Inspections: # Charged Re-
Under
Slab
Reviews
Cert. of Occupancy:
P.R.I.F.: 0 0 Additional Fees