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HomeMy WebLinkAbout05090056-ApplicationBUZLDE~ of RECORD: OWNER: LOCATION & PROJECT IMPROVEMENT LOCATION PERMIT APPLICATION Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures STATE LOT # SUBDWISION NAME INFO: ADDRESS OF CONSTRUCTION SEWER UTJ!.TTY ~ I WATER Lr~LJTY ~ .~. .... ~ ' I EST[HATED COST OF CONSTRUCTION: NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; TAC DATE(S); AND/OR COUNTY WEU. AND/OR SEPTIC PERMIT #~ (IF APPLICABLE): [: ~E [21 'BNO FAMILY [2] PORCH ~ # of units: [] [] MULTI-FAMILY [] #of Units: [] DETACHED GARAGE [] RESIDENTIAL (For [] ATTACHED GARAGE Additions, Remodels, Etc.) [] DEMOLITION P~_ _ -, -_ codes will be applied to the~ Amendments [] ~JnJform Plumbing Code w/Zndiana Amendments (Multi-Family Const~uddon Code) ~a~., o~m~ .~ ~ m~.... ;=.'*,,red - FOUNDA~ON ~P~: (Ch~k all ~ x / ' ~ / ~C~W~PACE ~ ~ & B~M Lot ~lit: J ~N Sump Pump, ~Y N ~a 180 da~ o[ ~ d~[c o[ ~cc o[ ~c ~8 ~t, ~d m~s~ ~ completed ':cco[ O~up~cy ~) ~ 18 mo~ o[ thc ~u~cc ~tc C~ I stmct~ ~ ~ ~bjmt to ~c ~ Administ~dve R~ of the State of InCa (See 675 IAC 12) r~ng ~adon ~e ~ for ~ ~d comple~g commction. I, the u~, ~ee ~c ~y com~cdon, ~nsmc~o~ ~em~ r~ado~ or ~c~adon of a smcmre, or ~y ~ge ~ ~e u~ of ~d or smcm~ ~u~t~ by ~ appfim~on ~ comply ~, ~d co.om to, ~ app~cable hws ~a - 1993~ (Z~289) ~d ~m~. adopted und~ au~od~ of I.C. 36~7 et s~, G~ ~mbly of ~e State of h~m ~d ~ Acts am~to~ ~eto. I h~er c~ ~t o~y ~t~. ba~. ~d fl~r ~ m m~ect~ to ~e ~ or ~cuRl~ un~ a C~re o[~cn~cy~ ~n ~u~ by ~e Dep~m~t of C0~u~~ S~c~, C~d. In~ Filing F~: glab (DateJ Base Inspections: # Chimed R~ Reviews Cert. of Occupancy: P. R .I.F.: __/~ ~/.~0 Additio'~al Fees