HomeMy WebLinkAbout05100076-ApplicationPROPERTY
OWNER:
& PRO3ECT
lrNFO:
Permit
COMMERCIAL o~ INSTI..T~,TIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional. New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
PHONE FAX
~rATE
Applicable)
Address of Shell Building (If different than Address of Constl~ctton)
PROVIDER:
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #~ (If Appljcable):
ZONING:
ooc~
Elevator or UR:
and medical
are commercial)
[] INSTITLrrIONAL,
[] [] Mun~f/laJ~ic~Bldg
[] Church
C3 CRAWL SPACE
POST & BEAM C:3 BASEMENT
(or POST & PIER) WALKOLJT:~N
~ ADD~ON ~
or Deck
[] ATTACHED GARAGE
[] CELL TOWER (New)
[] CELL TOWER CO~LOCATE
DEMOLITION
Manufactured
Trusses: Y _.~..N
Sump Pump: Y.~N
a special Rood
Plumber's Indiana State Ucense #:
IAC 12) r%~rdin~