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1305.98 Application
o;�a -Clay , � Pemiit N : �' �"O P � Application for �a,e � Improvement Location Permii Roll Fi e This pefmit is valid only�if conswetion.is smrtcd within 120 days of issuence date; all congtruction�,i� completed (c/o issued)wittiin 2ycnrs�of issuenee dere unless an exunsion of ume has been ollicielly grented by letterby�.the.Direcmr, Depart`ment of Communiry Development. NAME(� - PHONE FAX BUILDER I � 3 �. l ' ��I�I-7 �i S � �Iq 1'�t E , sraeer' ., �" crrv srnre - 3 I.`7 � i�:�'I FTc�r� CF ' _ TENANT NAME ' t �����QIB�� .� �''�,,�g� �. jif applicable)� ��� ` .� ���'�!`,''�° �. ' rwMe � " rnone� - OWNER ���- � �� � sraeer crrr � � - n z�r �ANA f �'�'� ��� LOT� SU9DIVISION _ SECI'ION LOCATION /U 3 � ADDRESS OF'CONSTRUCI'10 - a sv �: ( 3 3 A. TYPE OF CONSTRUCTION F. TY�P,cE�;OF IMPROVEMENT 1 B' Single Family / 1.�0 rvew SWcture 2. ❑ Single Family Cluster �✓ 2r�0 Commercial Tena�Spac�*��_r j. 3. ❑ Two Family �i 3. ❑ Addition Porch �Roo`�.�`�.� � 4. � Multi-Family 4. ❑ RemodeP ' 5. ❑ Commercial / Indu a I �. ❑ Foundation Only OL.T � ,� "A 6. ❑ Farm i � I � �( 6, �.O Demolition ' 7 ❑ OTHER (Specrfy) '` � 7. ❑ Acaessory Building B. TYPE OF,SEW,AGE DISP SAL � 8. ❑, Swimming Pool �j�y,��-p, �� lr° . .' / I. �Piiblie Sys[em.(Name of�System � ) 9. ❑�� Garage Detached Attached 2. O Privete.(Septic Tank, etcJ G. Lot:Split . YES NO � C. TYPE OF:WATER H. Flood Zones YES NO ✓/ 1. ��Public System (Name of System - 1 I. Sump Pump; YES ✓ NO . 2.� ❑ Private..(,Well . _ J: Manufactured.�Trusses YES NO '� D. ZQNING CLASSIFICATION O R PERTY K. Plumbing GODE BOCA or CABO Presrnt / , /r, , /� / E. ESTIMATED COST OF CONS RUC ION Plumbing Coutractor�� �� (Excluding Land Value) '�i��0o�, Plumtiing.LicensesH The undersigned agiees that any constrvction,reconswction, enlargement,relocation, o�alteration of swcture,or any change in the use oF�land,or.structures reques[ed by.[his application��will:complywith�;and conform to, all�epplicable laws of the State of Indiana,-and the "Zoniag'Ordinance of Carmel Indiaaa - 1993" (Z-289) and amendments,.8dopted'uader authority of Acts of 1979,Public Law 178 Sec. 1 e[ seq,�General.Assembly of�the�State of Indiana�, and�all Ac[s amendatory�there[o:. I further certify that�the construction�.will �not be.ueed .or occupied�.until�a Crrtificnte�oj Occupanry hae been ieaued by the Department ot Community-Development,.Carmel,'Indiana. � I further e?tify�that only�kitchen, batti, laundry; and floor drains_are connected�.[o the sanitary sewer. . �iJ � ' � . � . , /�nder Slab � ough- � Meter Base Signature of Owner'or�� uthorized Agent ���� 'ections Needed j � � � � Dramage ^Bfte Final C70 3 I �'9 0� � . M0� ` r Addiess, , , � .99g �.Plan Permit (Squa e�:Footage) � n 6,O �� ' Comm' sion./ Z( � � O"T> U•�� - ZA ocket•N Inspection Fees City tat p �.h� � �� p . ,' � �l""', Certificate of Occupanc ! S � Sewer^Ca aci pllot d � n ` ' ' � �OT � / / .: \ � De ari �eni of Communtiy Development Received y ��ed1'�"��"� 1 \ ' -� , "' . , . . ''YLR'.' . ' r' . -J4 - i :� F'^ili"2�v�.�+J +'S'P:4•, ♦ , 1 e�,. �'+'4AM , ur�-V'�b r' .qr-" .. . . T' I r r . t . •. � I � . } � - 1 ' ' � � _ _�� ~ . . . . ' .. � � . . � .. 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