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1328.98 Application
�Garmey lay Permit No. �p Applica'tion,for �ate �� ���� dm rovement Location Permit R°"F�e�-- o��� � P -- � ; � This'perinit is valid only if construction is started,within 120'days of issuence.date;ell�consVUCtion�must be com eted(c/o issued)within 2 ycars of is uence, date�unless an extension of time has been officiall , rantad�b �letter:b ;the Director,De er4nenf of Communi Services. 'NAME� PHONE _ ` FAX BUII:DER rin� S7�{-7��,�, s�e� �- � �a,� ,d3 � � a— TENANT NAME Q�/� (if a�-licable) V Nnn�e rxore OWNER ` � SIREEf CITY. � . ST ZIP LOT �SUBD S ON LOCATION � - nD Of CONSIRUCIION � .� ��'�� `y' S� A. TYPE OF CONSTRUCTION Do plans��u F,IMPROVEMENT 1. � Single'Family ❑"Ye � ew.Structure 2. Two Famil �ry r��diuon Porch�Rqo� F� , ��, y IAN'A ( 5� � 3. ❑ Miilti=Faznily Type of Found'ai"idn: 3 ❑ Remodel ❑ C^o�unz�c�al�1'ensrit S}�oe� 4. ❑ Commercial/Industrial ❑ rewlspace 4'. ❑ Foundation Only l r� �� �' 5: ❑ Fazm asement 5. ❑. Demolition �� 6. ❑ OTHER ❑Slab � 6. ❑. Accessory Bwlding �CT � � ` " , •.,, �SPecifY) 7: ❑ Swimming Pool B. SEWER: � ' ❑ Garage Detacfied 19 , ��,�'�,�—_ 1. Public (Name'of System . � Split YES _ 2. �Private(SeplicTank,etc:) 'NO V 1 1 x. Fi d Zones YES NO � C. WATER: , 9� S p Pump YES � NO _ 1. `� Public (Name of System ; J:� ufaMured Trusaes YES � NO _ 2. ❑ Pnvate(Well —�� � - �� /�n _ � ��� D. ZONINGi lj '� K. Phimbing Contractor �<<,��r a n Ei ESTIMATED COST O CON TRUCTION ��/� (Excludmg Land Value���i �� �J 7S Plumbing License# ���(GC031�BOCA or❑CABO s*st*sexss*a+r►s****t«tr*�**rrsts***rt�i*s*rfa+t*s*tt*rs***ra�x*sst*t*ti**s'srrs►+3rr+**�ss•�"s`w*x�e*x�ass**r*e+s The tinderstgned agrees that any consti'uct�oqaeconswcUon;enlazgement;relocatioq oralteration of structure,or dny change in the use of land oi,structirces requested by this application will comply with,;and conform to;,all�applicable{aws of the State of Indiana,and the"Zoning Ordinance . of Carmel'It�diana-]993"`(Z-289)tand amendmen[s;adopted�under authonty of LC.,36-7 et seq;�General.Assembly�of the State of Indiana,end all Acts amendatory;thereto. l.further ceitify;that only:liitchen,tiath,.laundry,,and•tloor drain�aze conneoted to the sanitary sewer. I further certit'y thatYhe conatruction.will',not be,used or occupied until a'Cerliftcate of Occupancy"has'beeu iesued by.the Department of Community - service9, earmel, diao CALL ��$�f11VE�J"� IF'IL� DP 928-6447 , �specfions:N : � � -- . . , - , ". FQR PO�iK- oo '..g/,Underslab . ou 6= �e _ . Signature of Owner or Au[horized Ag,ut' . � - � "')�Q �/Va.U�� � /`7!lJCI� Site al C�/OO ������ (Print) (Phone�Num6er)� �Peiuut(Square�Foo[age) Il� Sewei Capaciry,Allotted ��/ � Inspection F�s: 'z��—'--�— . i dd Plan'Cominissi ZADock t / CertiSca of. ocup y':: '� ,//� �jr/ TOT . : �J � � �j ./ / / yiew d/Ap ov : D'pt,of Community Services F Receive y �+WV�eb ��� . i��/i'i�� /GJ�� �' r�.v.mr...:.F,.+:::r�_.��tiy.�+A�.bPCCS.::Fti..;.:,pyy+,pT'1`c.yn t�„�,=•i3w.`-�y'3�"'�„F4+"i�a`P';C-Tn^w+,F+`nrTi•rvr.�...uu�rat"m.-.f..:+C,.�w-=..vwnrw2c,.,..;�. �,u'.,,,w„r�y�w:���y Nv--. ` . � � ' � .�'��A�:.'t1 ,i��'� ' s-�t `�.,�'�` �,��.'y � �) '�- �\' °'',� la.�`���.i'�� �' 'i: � rt=;„, -4� t ✓� ,:1 �::_�-�`' . �1,� ��, ; � `:=- ''°`�' ^,,�� ti�� , ,; +�t i`� � ��� .}I., � .:yr. J� . V � •�; �,,,s°' r�,,,• , `� ��� �.� : ` ' ""',�~ • �,,'r+..'r " " � ...�.'"' : ' ' . � �.t , �4r.I a. .. � .� ' , . . ,.. . i a : . . . . .� . • � , •'�. . � . .. . . . . . � i.. . � _ � .. ,f. . . . , �_�_ 1 � i� _ � � . � � � 1 � 1 v ' �- ' , ' � ` � '� � l . , � • . K - , � • 1