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1307.98 Application
Carme = - a Perntit N . �,,,Sh,P �} - Application for Date �^� n � Irrtprovement Location Permit R��� � p1�� � 7'his pertni[�va�� iFconswclion�,is s[arted�wi[hin I20 days oCissuence�date;.:alP�consWCtlo s';co pkted,(c/o issued)within 2 yelr�f issuance date unlcss an extension.of��lime has been=officiail'y..grented by'letter by the Director. Depaitmen o1,Communiry�Development. NAM PHONE ' FAX /� % � auitnEx �,�-�s7-2�c�no C.o,c/cet?rS � ' � �C� ��G- 3/�O - 3S �- 3�g � � sm .. 'crrr� - srwre / z�e� ,0 ,� • �-7`�IZ- .�J'l�lrr ��"r?�� �/C�Z! TENANT NAME' � JeC!� p" "�,,' (if�applicable) � �,f S - - C"^r�� . NnME! PHONEI+' , . �t�l����/�� ' �.��( . Jf� OWNER �� G�I7O � �`1-�/ � - STREZE� �n/� / y� CITY , �� ZIP � � JV�'lLJ � �. ; �'� \ ��/ � 4 . �. � LOT 'SUBDNISION � � � �' ����^/' q� SECTION `�9 LOCATION ADDRE55'OF CONSTRUCTION ��a h - �-- ('�'�. � i, Cc4✓Lwe�= � . � A. TYPE�OFsCONSTRUCTION F: TYPE OF IMPROVEMENT 1 ❑ Single Family� , v 1. ❑ New Structure 3 ❑ TwolFaFmmil Cluster / 3. ❑ Add�°ncial Tenant°Space � g Y ' �N � y r Po5'�} �,RoQm�� 4. ❑ Mulu-Fam�ly I C" 4. ❑ Remodel ° �.��� �' � 5. � Commercial / Industrial O �� 5. ❑ FoundatioaryOnly� �� � 6. ❑� Farm' 6. ❑ Demolition.. 7. ❑ OTHER(Specijy) 7. ❑ Accessory--Euilding OCT 2 7 ?'" � B. TYPE OF SEWAGE"DISPOSAL 8. ❑ Swimming Pool 1. � Pulilic System (Name of System 1 9. O Garage Detached �'i��At;ached �.-- � 2. ❑ Pnva[e (Septic Tank, etc.) ` G. Lot Split 'YES �`'B°� NO��3 C, TYPE OF WATER H. Flood Zonee YES NO °✓ 1. J�- Putilic System (Name of,System - 1 I. Sump Pump YES . NO .�r��� 1.. ❑ Private (Well. ) J. Manufactured Trussea YES NO C �7 `�- , A 'ZONING.CLASSIFI IO F PRO Y K. Plumbing CODE OCA" or CABO • Present ^' �/ n!^� b _ . . _ • E. ESTIMATED GOS - F C��-�/t7��Tr7��UG/� ON :, Plum6ing Contracto rL //L'fY� O r�d I J'!''� (Excluding Land Value) / YJl�%��!!�G• . Plum6ing License�.:�g�. ./�°/�(i�:2�� — The�undersigned�agrees that,aay consWCnon,irecons[rqciion, enlaigement,�relocation;or al[eration of�structure, or any change in[he�.use of�ladd or stntctures requested by [his.application�wtll,comply with, and conform to, all applicable laws.of the State of Indiana�, and��.the/ "Zoning Ordinance of Carmel Indiana - 1993" (Z 289) a¢d amendments;,adopted under„authority��ofActs of 1979,Public Law 178 Se� I Prther certfy thath�eo sfrucp on wll,not beuse'dAorsoemcupied untileatCrrrrfieate-oj��Occupancy has�been �issued b�� 9 Y �S' De artment of�Commum Develo ment Carmel �Indiana. � I� cect�fy<.that o ly kitchen, bath laundry and fl r drains are��connected�to the samtary sewe � . � �/�6b��e���,� .. . ., �.)��� ./ `�1 Foo[i � er Sla , (i Sigaature of-Owneror�Authorized,Agent�-� � ,1 � pectlo ;eded` - � � Drainage �te�Fi" . _ �-l� ,�-,-��2_ �1-e11�- I �� �'. 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