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0149.97 Application
Carmel ,lay� 1 : 2 � � � . Pern�if`No. /��� . o>�nslup�•�. �A[1P11CatlOn fOC Dace � � Irnpro;vement Locafion Permit Ra�� F��e � is pelm�t�is+valid'only;if_conswction is�started"withiq 120;;days;of isguence date; all canstructioa;is completed (c/o.issued)�within 2 yenrs of� ' _ ,.-_� ._. .._ . ii'ssuance�datefunless'an�eztension of eime has beed��,offiaally granted by letterby the Drt`ecroi; Department of�Community Development. - AAMH ' PMONE � �FAX . .__ : -_ � . . . 'BUILDER+ S � �. , �- E'. S` �1'� . .._ _ _ __. . STREEf � . . COY � - � - STAtE Z@ C� . ` CG'=,/9 -;C � _r+1EG. .�nS �0�:� , TENANT NA7VIE �(iftapplicable); � �NAME PHONE ' FAX - , OWNER � rs . STREET CRY� � . . STATE 21P � LOT SU9DIVISION� ,��j SECf10N LOCATION N G'S,i�'`�lL ADDRESS OF CONSTRULTION�� ,� " , �� ' � �03z A: TYPE OF CONSTRUCTION TYPE OF IMEROVEMENT � . � 1 � Single Family `[� � � 1 �: ��:New..Structure, . � 2 ❑ Single Family Clus{er `�i�If ` � 2 ❑ .Commercial Tenant Space 3. ❑ �Two Eamily ' ���T�' �. O� .Addition Porch _Room _ q. ❑� �Mul[i-Family . � � ❑'. !Remodel 5. O Couunercial / Industrial � 5. ❑' Foundation Only 6 ❑ Farm 6. '❑' ;Demolitiori 7 ❑ OTHER;(Spec;fy) �✓�I�M�L- 7. ❑ Accessory Building B. TYPE,OF"SEWAGE DISPOSAL i � 8. ❑ 'Swimming",Pool 1. ❑ Public System (Name of Systemj �L7�y .�) 9. O ,Garage De[ached Attached 2 � ❑ °Private (Septic Tank, etc.) G. Lot Split: YES NO _k�, Cr TYPE'"OF'WATER H. Flood Zones YES NO �_ I: ❑; Public System(Name of System';-` "Nl� I. Sump'Pump YES �_ NO 2. ❑'�Private'(Well � � J, Manufactured�Trusses YES NO �_ D: ZONING CLASSIFICATION OF PROPERT F Plumbing CODE BOCA or CABO Present .S 1 � . ' F ,p � E: ESTIMATED COST OF CONSTRUCTIO �iF': ��, �Coet�acto� L-�EN� /'R10E !"LNMl91N� �� .(Excludmg�,Land Value) � J 00 � ��99�Wm � g�License # ..�9/O/D,�y- __ �T&e undersigned,agrees,ttiat any consiiuchon;,r'econst[ud'tion; e ement,rel a[ion,oralteration of swcture„or any change in the use of lan"d oi structures�requested,by this�application,willicomply with,.. �co � rm.to; all':tapplica6le laws of the State.of�Indiana, and.the "Zoding Or`diaance of Carmel'Iniliana:- 1993"��.(Z-289) and'�amendments, opted:un�i"a''r,,cc]]�,,�nty of Acts�of 1979,'.Public Law.178�Sec. I e6��seq, General Assembly�of�the.State of Indiana, and all Acts�amenda[ory tJiai�`oFr�"�S� - . I:further certify thaf the construction will not be used�� or occupied unt���a'Cernfi'cnte�oj�O�ecnu���^��as� een issued�by the .Department,�`Comm�ity Development, ry�mnd��floor drains�aie connected; ��e°�;Qit�se�����e �/! � rV 'I further�certi �.that oni kitchen- 6ath, laund ry'�'"_ wl �(� �! �� (�s-�n;e� ; �li QytP�/ �! � " E . . -, �vMi/' . , . , / '�io .. � �'� . _ � F o ,,,, �. ' � - � � eter.Base Signatu of'Owner or Authonzed�Ag . � Inspec[ions N�,fle ��� � . � Ueaih 99�� C���e� �i� �E �`J � � g Plan Permrt;(Square�Foo ge �q Y �/ / Commissiont/ �� � �� Addras G�-�✓"I�� .1N= ���2. �T�"���/ BZA Docket,t4 Inspe�nCFYes ' �.—��� Gity, . tate ip� Phone � �� ; /� Certificate of ccupaa Sewer•Capacity>A o d, . ' ' ��: .. . �, . ����i�/ � G'�crQ ����.. �C/l,l� . ` � � T . �Depanment of Cominunuy Development Received Fiy �. �°°°�°'�J�s�194 _ �/