HomeMy WebLinkAbout05100101-Master PermitBuilder:
CTTY OF CARMEL
MASTER PERMit APPLICATIO__N
The undersigned hereby applies TO the City of Carmel, Permit Services office
for on Impro~'ment Location Permit (ILP) for Lot .2¥~ in (Subdivision
~ The address of this Lot is
The Master Plan File on record with Permit Services is: (Name of Model)
Apph'~ant hereby a_q~ees ro build the same structure ~,hat is represented/n the
approved Masree Plan File on record w/th Permit Services. Any alteration to
r~13 approved plan w/Il require subm/ttin~.l an ,4_j2~l/cat/on fat' I%ev/s/ons to
Om'o/hal Plan ~ubm/tted.
Unaer me penalties of perjury (Tndiano Code 35-44-2-1), I hereby affirm under oath that
c of the information T have provided In this M~ster Permit AppLication is true Qnd accurate
To The DeST Of my knowledge ~nd belief, '~nd that I hove not knowingly or intentionally
provided or omi~ed ~ny information thgt. would tend to hide, obscur~ or otherwise mislead the
DcpT of Communi~ 5¢rvlccs rcgerdln9 fRe truth of the ma~ers ~ddressed therein.
MoszcrPIm~:ii~/M~TCr Permit
A~lJc~tion
Est June 1999