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0202.97 Application (2)
Carmel-Clay' Permit No. � � ' To�j„p j" Application for �' Da� �� . J Improvement LocaZion Permit R°u F''e This�,pertriit is velid�:only if conshuction�is�stsrted witfiin�120 days of issuance dete;�all construction must Ge completed(do�issued)within 2 years of issuance, da[e�un(essan;eztensionoftimefiasbeen'offic�all �, ranted�b �Ietter:. ���theDiieclor.De rtmenfofCommuni .Services.. � BU7LDEB N�^�"�'�-iU/ /k�+ !^"�r.' PN�//� V/;/ r//O.OD F ✓ L�'f//� , . _ , > _. .. . ... 3is�S' �''. fia�d ���; . �o .�! : �. y���r� � ' TENANT NAME. ifa lio�ble � � �NAME �PHON2�� FAX OWNER v`.'"' '—.�" " '"' .STREEf 'CITY' SfAiE� �7JP '�LOT SUBDMSION� SECIf�N LOCATION 32 ,6�i / ADDRE93�OF CONSIRUCIION �S�S �'-�!!%/ _ .�G�'. A. TYPE OF CONSTRUCTION Do plans' clude a porch? F: TYPE O IMPROVEMENT , j� 9. fp�Single Family RI Yes❑No 1 New 9tructu;e 2. '❑ Two Faznily 2. ❑ Addition Porch Room_ 3. ❑ Multi-Femily Type;o.Foundation:, 3. O Remodel ❑ Commeroial Tenant Space 4. ❑ Couunercial/Industrial r aoe: 4. O Foundation Only 5. ❑ Fa�m ❑B t 5. ❑ Demolition 6. 0, OTf�R ❑Sl' � 6. ❑ Accessory'Building (SPecSY) ' � 7: � Swimtuing Poql B. SEWE 1°°' r-�, 8. ❑ Garage Detached Attached I'. �Riblic (Name of System;��l✓ +Q C.. Lot Split YES _ N� 2 O Private(Septiq Tank,etc.) PI. Flood Zonea+ YES NO � C. WAiTE�: ,/ � .� I.. Sump Pump YES ? NO _ 'I. Q" Pdtilic (Name of System �N��� �. M80UF8MUICd TN89C9 YES !/ NO _ 2'. ❑. Pri'vate(We L D. ZONINGc - � K. Plumbing,Contractor �;r /�1-�� E. ESTIMATED COST OF CO RUC ]O ` _ p (Excluding Land.Valne) � �J � Plumbing-License Itd��4 />J��OCA^or❑CABO � a�ew4saw4e*wasstr�.*srstts►*swrt*KSt�es**+t -*s"t�*s►i+ta*#*>r+*rrs*s*t+rr"a*a+�ar*is's►sssstw**►ssaiw+�stttsst►i►*�sr The tindersigtied agrees Uia[any consWCtion„reconsfruction,'enlergement;relocahon,or.aiteration of structwe;or;any change in the use of land or stniotwes requested by this applicalion will comply wiih,andmnform to,all applicable laws of the State of Indiana,and the"Zoning Ordinance ofGarmel'Indiane- 1993"�(Z=289)�and�amendinents�;adopted under auttiorityof I.C. 36-7 .et seq,.General Assemtily.ofthe�State of Iodiana,md all Acts�'amendatory thereto. �I further.certify that only+ki[chen,bath;;laundry,enclsflo�r�&irr3^:ar'i'con"he��101e'��}�s �' I furt6er certify �. Y�t! � VI fwV / / thatithe construMion,will,nol be used:or occu ied until a Cerk uate'o Occu has n'issuedb the,� e mmun Services„Carmel,Indiana P 'j ,��hf2L'sp�O��d7Y�dd��(BIYQ;p 4'YCi�! �3St o-��[/��P�� � � � ��C3�e��xi�R�r n � I.nMI �!L!l(�S � .1 TIISPBCtt -�C'C�E . . /J�"�a.C. .f�./���"cl OF C ,�.� � ,. " E4PEtSC3�i`---. � � � F - �adeest b(`,�o���In� Mete�Base Signature of:Owneror Authonzed Agevt �''�� T �� `" ''���G" Mq�' 1 !�'Sile'�b1E�! E Fln'al J�,�ld4 C/O � ve,dor�. /r h��� P%� 2199 -;��� (Print) (Phone Numbe , eanit(Square Footage) �� Sewer Capacity.Allolted" � - ! Inspection Fees: � P1an CommissionBZA Doeket#: Ceitificate of Occupan ' �J� ��� TOT sR e Approv_ed Dept,of Cominupity Jervices Fee Reoei By s:��sm m�� _ _ G