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05100148-Application
Permit. ~ddiUon~ Remodel~ FAX C1TY 5'rATE OWNER: luilding (If different Lot # and Subdivision (If Applicable) 'ARCEL #: RELEASE: SQUARE OTHER(S): FOOTAGE: SEWER UT[L~rY PROVIDER: PROVZDER: ESTIMATED COST OF CONSTRUCTION: (EXCLUDING LAND VALUE) COUNTY WELL AND/OR SEPTIC PERMtT #'S (If Appticab~e): or UR: O YES TY · .- . P- VEMENT: ~3 ADDiTiON [] Room(s) [] ~r~ ~t Split: d~gnafion ama: Y_ _~_-- - ZN -_: m, N: Permit:, CLASSIFICATION: SLAB POST&BEAM (or POST & PZER) O CRAWL SPACE C3~ ( NT LJ ( [] BASEME / -- DENOLtTION WALKOUT: Y~N L.J 1AC im~ frames for in'the use of [an ~ Ser, J. ces, C~tmd, Indiana. Filing Fees: ~ ~'~ ~ Base Inspections: Reviews Meter Base Site ~ ~