HomeMy WebLinkAbout05100097-Master PermitBuilder:
C~ETY OF. CARMEL
MASTER PERMZT APPLZeA T'ZON
Date:
The undersigned hereby applies to the City of Carmel, Permit Services off/ce
for an lmpro~inent Locatio~ Permit (ILP) fo~ Lot ~ in (~ubdivision
Na . ~he address of this Lot is
The Maste~ Plan File on reco~d with Permit Services ~s: (Name of Model)
Apol/~ant hereby agrees to build the same structure ghat )'s represented in the
approved A~asrer Plan File on ~ecord with Permit Services. Any alteration to
th~ approved plan will requ~e submitting on ~llcatfon ~o~ ~ev/sions to
~;~ol Plan ~ubmi~ted.
unaer the ;eqalties of perjury (Zndiona Code 35-44-2~1), ]' hereby affirm under oath that
a, o' the [nformatto~ Z have provMed In th~s Master Permit Application Is true ond accurate
TO the ~est of my knowledge and belief, hnd that I hove not knowingly or Intentionally
provided or oral.cd any Information thgt. would tend to hM~. obscur~ or otherwise mislead the
Dept. of Communl~ Services regarding the truth of the mo~ers addressed therein,
Nam-~ c~Appl/cant o~------e~ (Print)
~ture'
Est June 1999