HomeMy WebLinkAbout05100134-ApplicationCity of Cannel/Clay Township Permit
STATE
FAX
ZIP
PROPERTY
OWNER:
STREET ADDRESS
OR TENANT NA~E:
different I Address o[ Consb-ucUon)
SEWER UTILITY
PROVIDER:
PLAN COMMISSION / BZA
COUNTY WELL AND/OR SEPTIC PERMIT # $ (If Appltcable):
FJeva~or or UR: ~ YES
PHONE
CJTY
FAX
SUITE # (IfApplicabie)
(If Applicable)
~ FDN E~ STR ~ARCH
~ ~EC o SPmLR OTHER(S):__
(EXCLUDING LAND V~UE)
CLASSIFICATION:
Manufac~red
~lezzanlne or Deck Does any part ~roperty lie within a
designation area: Y,.~_N
[] DETACHED GARAGE
ZIP
(or POST & PIER) WALKOLrI': _Y N C3 DEHOLTI~ON
Filing Fees:
Base Inspections:
Cert, of Occupancy
TOTAL:
Addi~onal Fees