HomeMy WebLinkAbout05100077-ApplicationFor Commerdal or Znstitutionah New
Remodels,
PHONE
FAX
OWNER:
lit PRO3ECT
ZNFO:
(If
# (If Applicable)
Lot # and SubdNision (If Applicable)
SCOPE(S)OF ~. FDN (:3 ~ ~AROH ~ECH ~LUM SQUARE
RELEASE: ~LEC C3 SPKLR O"I~{EP.($): FOOTAGE:
PLAN COMMISSION / BZA / BPW DOC~-r NUMBERS; AND/OR
COUNTY WELL AND/OR ~PTIC PERMIT #'S (If A0pl~cable):
~STIMATED COST OF CONSTRUCT~QN:
(EXC1.UDING LAND V,'~LUE) ~ ~ ~)~ , ~<~
C:3 INSTI3UTJONAL
C:) Munidpal/Public Bldg
[] Church
beck all which [] DETACHED GARAGE
area) D ATTACHED GARAGE
C:~ CRAWL sPACE C3 CELLTOWER (New)
B [] EM~NT [] CELL TOWER CO-LOCATE
POST& F. AM BAS EMOLtT[ON
(or POST & PIER) WALKOUT: _Y N [] D
PR03 -IN: · ' - -:
Early ReleaSey ~ ManufacEured
Permit: Trusses: Y ~N
LotSplit: Y '_z:~N SumpPump: _Y ~N
rOec~ Does any part of the properb/lie wiUfin a special Flood
designation
Plumber's Indiana State Ucense #:
Services, ~cl
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