HomeMy WebLinkAbout1319.98 Application ,n,;;. ..
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oW;;s�p : , Application for ace ' �� 1 a
�—� Improvement'Location Permit °"F`, � 3
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This pe`mit is valid only if conshuction is started within.120 deys of issuance date,all wnstrtic[ion must be completed(do issued)witttin 2 years of issuance,
date unless an extension of time has been.ofliciall �ranted b letter b the Director,De rtrnent ofCommuni Services.
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TENANT NAME
if e licable �
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OWNER -�U � 4M/=5.. �
SIAE2f CITY � �ATE P
LOf SUBDCMSION 0
LOCATION J J`����N� �"� �
ADORFSS OF CONSIRU
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A. TYPE OF CONSTRUCTION Do plansinclud a porch ? F. 1'YPE OF.IIYIPROVEMENT
1. j� Single Femily ❑Yes No 1. � New Structure
2. ❑ Two Family 2. ❑ Addiaon Porch ry�� ,
_ 3. ❑ Multi-Family Type o Foiindation; 3. .❑ Remodel ❑ ommerc�7 al 1'eT�!S�a�% �
4. ❑ Commercial/Industrial ;. �rawlspace , 4. '❑ Foundation Only NO V - 9 �gg8
5. ❑ Farm ' Basem 5. ❑ Demolition
, 6. ❑ OTF�R ' ❑Slab [ 6. ❑ AccessoryBuil ' �jY_
(SPecifY) 4\n� 7. ❑. SwimmingPool � ,---_-_ I
B. SEWER: 8. ❑ Garage Detached Attsched �
1. �Public (Name of System�R/1 M f= � ) G. Lot Sptit YES NO -�i �
2:. ❑ Private(SeptidTank,etoJ H. FIoo�7_o�ea YES NO ��/
C. WAT'ER: 1. Su�RS`mp YES _ N� =! •
1. �.Public (Name of System CA/�i M�� • ) J. �aqp�'aMut�d�nsaes YES i %F?O _�j
2. ❑ Private(Well ) .g J �io G� �`� L� `�—
D. ZONIlVG: bS � �1C'`PTu�hiA�;�utractor��S.S�0� '
E. ESTIMATED GOST OF CONSTRUCTION ,,�i,� 4� o���0�°
(Excluding Land Value) �� O OG (Q� ' .`�O��IMeg License N/�OOP 7�� �BOCA or❑CABO
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The undersigned agrees tha[any conswction;reconstrucqon,ec�eqfe��"�Q�� or alteration of swctwe,or any change in the use of land
a sRucaues requested by this application will comply w�th,an nfCriiry{o�T l a p�ble laws of the State of Indiana,and[he"Zoning Ordinance
of Cazmel Indiena-1993"(Z-289)and amendments,adopted�@cA��'d�+.�6-7 et seq,General Assembly'of ihe Stete of Indiana,and all
Actsmmendatory[tiereto: I fiuYher certify that only kitche�badr,te'unQry���d'or draim are connected[o the senitary sewer. I further certify
that She rnnatruction will not be used or occupied �,� CP�c�oj ccupuncy 6as.been iesued by the Depar[meot ot Community
Servicea, Carmel,Indiana 4!!,�0• ,r� G
_ ��° ��0� Inspections Needed:
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- ' G ootin oderslab ougb-In eter Bes
,�� ature'of Owner or:4uthorized Agent
Site na �
I J�=r�2A �A�I,SM,ilz(��-.soao . ��
(Print) (Phone Number) Permit(Square Footage)
SeweiCapacity,Allotted ��5� It�sPectionFees: __1 /J
Plan CommissionBZA Docket#: Certificate of Occ ancy: . g�
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T AL: _`2���
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Review pr Community Services Fee eceived B s:v�,�a�ssab m
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