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1306.98 Application
Cazmel Clay - PermifNo. ' � � Application for �Da� ; ��� Improverrc'ent Location Permit Roll Fi e Ttiis permit�s"4alid only.if construction is started within 120 days of issuance date;all construction�musfbe completed(c/o issueA)wit}�in 2 years of issuance, +'tlate�unlessan eMension'of[ime has been ofTiciall ranted b�letter b� the Director,De ent of Communi Services. � N PHONE Q c FAX BUILDER . T'' ' C1 'b�7'7O 1 I ��SOZ� S'fRE��..1''f�� CRT STAIE ' rZIP I� O � - :'.. '�„ V �� 1 � V � TENANT NAME HELEAStU V�� . ife lica6le) �������rV�a xaue ��e O Comp tanct with^t�ll fteguln�ro►r, owr�x � 9f St�ttGount , end �� �m � C�/►l1i�TY DEUE�i� �LUf SUBDMSION � � Ory, C �1AfVq t 5�9 E � LOGATION ADDRESS OF CON41RI1Cf10N� o ��,i .- �ra�l �rt�-r�, r �lI�03o2, A'. TYPE,O�CONSTRUCTION Do plans iqclude a porch? F. 7'YPE OF IMPROVEMENT l. �Single Family C3'�es,❑No 1. I�New Structare 2: ❑ Two Family 2. ❑ Add�tion P.orch_Room_ 3. O Multi-Family Type of Foundaliod: 3. ❑ Re nant Space 4. ❑ Commeroial/Industrial ❑Crawlspace 4. ❑' Fot���n} _� 5. ❑ Fazm �sement, 5, ❑ Pemolition 6. ❑ OTHER ❑Slab 6. ❑ Accessory�ie� �•, csp��� �. ❑ s,�a;� � 7 9..�.; B. SEWER,;r (��,,,� 8 ❑ Gazage Detached Attached 1. [8�Public (Name of System ��pC'r'�7L, G. Lof Sptit CS���S _ NO � 2, ❑ 'Private(Septic Tank,etc.) � H. Flood Zones a� S � /'NO � C. WATER: I. SumpRump YES _j% NO _ 1. f�✓Public (Nawe of Sys[em T� J. Manufaetured Trusaes YES NO �� 2: ❑ Private(Well 1 �+ � (� j D. ZONING:_�_7_ K. PlumbingContractor 4�c5 /7/�P��Clf��[UM��R�� E. ESTIMATED GOST OF.CONSTRUCTION (Excluding LandValuej L{��. �n� Plumbmg License:# �4 b!Q����'�OCA or❑CABO_ #rtsi4*#tt#t31t4rts**►*i##t3t#ss rtM#t#,#,'####ii#tt+k*rt*rt##k?kt#kFI#tt*tttiM+ks#*1if#ltii/#�tftilif#1k#titt#fiiti#Ii/ The undersi�ed agrees that any constraction,recAnshuction,enlargement,relocatioq or altecation of;sVUCwre,or any change in the use oF land or,stiuctures requested by t}ps applicalion wtll coinply wilh,and confor[n'to,all applicable laws of the Sta[e of Indiana,and the"Zoning Ordinance of Carmel Indiana- 1993"(Z-289)and mmendmetits,;adopted iuider authority of I.C. 36-7 et seq,General Assembly'of the State of Indiana,and all Acts�amendatory.there o. I fiirther certSy that only:ki � �en;bath,laundry„and��floor drain�aze.connected to[he sanitary sewer. I further certffy that t6e constnic ' ` ' �.not tie�:daed or�occu` d until�.a�Cer6ficafe ojOccupancy;has�.been,iasued by the�Department of Community Services, Garm ; �ana: < Inspections Nee F fii�g/Underslab• � t � Signatur ei Authonz Agent G(:�P� . / '/U� f • (��'i site '" � � �� � �(Pnnt) ,hone N- � _ Percmt(Square�Foota ' . -�� ~"�f� Sewer Gapacity Allotted �v ` ���`/' � ection Fees: �E�j��� Plan Conu�vs ionBZA Dockef#:, k' 4 19,98 C�rtifica f Occupancy: ��� ��"�. fTOT� � � � � � ��� , ; eGie pr_J : Dept:ofCommuaity:Services FeeReceivedBy �:v��ro�aw m�� - r•�• �_ i�T�".••- � " .,�4�•n' -��'�i!<�-.!,?:�•Yifin" f�x'�'...T.i�TK>^3Jtir�a�.e�v-n3a•°.4+'ti-''\9ur+`:HO'�if�_+,.!�r^N�.:Fi'.i.%r::er',.:i-!b)�".rY'"L"1 4,�+*1�7,?'�.iw�crX'+r-�:�.�..-..v. . � � i . _ • � i 1. . , l ',� ti '( �,� 1 ^' �,�, � r ,, ' � _ f � ._ _' . _ _1` � • �. . � '-- . � �� l�.\ . ' � •` �-�� �. � . ::l�,�',:fi,: - •'� . . ' . . if .'� t. . . . . . . �_. . . . rrM1 . � � .. ♦. . ..:�•i. � _ ) � °� J • � - ' ' • . • . . . • �',�_� 1. . , . ♦ ( � .` . ♦ � � �- ' . � � , . � l . �., . �'' _. r ,. . 1 ' ' • J . - .� '' �1 • � � . . �l �.'1�. .l I ? ' i .. . . �`. . �t ' +• t � . , 1. /.-?� •'v � .. �. . � ' '..1_1_ . , 1, �. � � � + � i!\_ .:1 �. �.t . ' __ ', • , ' i , �. � ,1' � . . . � .: ) : _ 11 � . � � • ' ��. , ���' :.\ , , � . ' � � ��`:;�''��� ' ' . � -� �� ' . .. - � . . ,` �\ . •; • . , , ' . _