HomeMy WebLinkAbout0130.97 Application ��ay Permit No , 3�,��
' o ,p Application for Dac� z < �
ImprovementLocation Permit �R°"F
This.pennit is valid only,if consWction'is started�within�.120 deys of issuance date;all consVUCtion must be wmpleted(do issued)within 2 yesrs of issuance,
date unless�an e�ctension�of timelhes 6een otTiciall ranted b letter fi �Ihe Di�ector,De� ment of Communi Services.
NAME PNONE FA%
' Bu��R ,��M�, r - . %�5 - ���
.. - - sraeer crrv srnTe ve
�=SS� � do � N ,�s. �,� 5'�aa
TENet.IVTNAM� ' /�
iCa licable) �
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OWNER I �/7•M= . ' �' �
SfREEf C!1'Y /�f7'•. SfA'IE LP
� - � '� I; �d
LOT 1 Sl�BU1V610N � ���� SECIION
LocnTioN J
l u �/� a.v .�HR.Sf.
AODRESS'�OF CONSIRU ON / /S�( . O S u�� �
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A. 1'YPE'OF CONSTRUGTION Do plaiis include a porch? F. TYPE OF IMPROVEMENT
I. � Single Famity ❑Yes❑No 1. �. New Siructure
2. ❑ Two Famity 2. ❑ Addition Porch_Raom_
3. ❑ Miilti-Family Type of�Foundation: 3. ❑ Remodel ❑ Commercial Tenant Space
4. ❑ Commerciel/Industrial ❑Cra 4. ❑ 'Foundatiou Only
5. ❑ Fazm �B 5, ❑ Demolition
6. ❑ OTI-IER ❑Slab ��� 6: O AccessoryBuilding
(SPecifY) ��� 'SwimmingPool
B. SEWER: Garage Detached Attached
L � Public (NameofSystemGT � � LoYSpGt YES _ NO '�
2. ❑ Private(Septic Tank,etc.) F� Flood Zonea YES _ NO _
C. WATER: � .�,' �C�. Sump Pump YES o` NO _
l. � PubLc'(Name of Sys[em�ND�� j� anufactured Truases •YF.S _ NO d
2. ❑ Private(W8I1' 9� / �,��T/�/C��/„ _ _�
D. ZONING: S- / K. IumbingContraMor J��JdCi{ /�1��1t �'-
E ESTIMATEiD COST OF GONSTRUCTION \ G� �
(Excluding Land Value) o�7S, ��O Plumbing:Liceose# O C��BOCA or'6�CAB0
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Tha;undersigned agrees tha[any consVuctibn,reconstruction,enlargement,reloca[ioq or alteration of sVUCture,or any change in the use of lend
�structtiies requested by t}us application'will comply with,and confoan to,all applicable laws of ihe'State of Indiana;and the"Zoning Ordinance
of Caanel�Indiena- 1993"(Z-289)and.amendments;.adopted under au[honry of I.C. 36-7 et..seq,General Assembly�of the State of Indiana,and all
Acts a[nendatory th8reto. I fwther certify tha[only kitchen ,end floor drauv,are connected to ihe sanitary sewer. I further certify
thaf the coustruclion will'not be,used,or occupie . niel a��Cerlificate � Occupancy has been':'issued by the Department of Community
Se�vicea, C8rme1,Indiaoa. �
�lu'/�L���/ Ins ctions ed:
� -"' �� '��;� �� F t � ersl�� - e
Signature of Owner or u orized Ag �j��'f�
Site Final /O
� � L , � �
\ rint) (P one Number) Pertnit( quere Footage)
�Sewer Capacity Allotied � _ Inspeclion Fees: ����
Plan CommissionBZA Docket#: Certifica[e of Occupancy: �`� �
/
�
TOTAL: � i�
�/�.�,.�-�=' ��
� / ,�,� i, / /" � ���L�
Re rov . f Community Srnices (�'Fee Received By •:��mn m��
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