
APPLICATION FOR
ARCHITECTURAL APPROVAL
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1.) Name of Homeowner:
____________________________________________________________________________________________________
2.) Address and subdivision of property applied
for:
(Example:
____________________________________________________________________________________________________
3.) Please explain the
purposed construction for which approval is requested:
(Example: I plan to place a fence within the
acknowledged utility and drainage easements.)
____________________________________________________________________________________________________
____________________________________________________________________________________________________
4.) Name, address and phone number of contractor
or party responsible for completing the desired work:
(XYZ Fencing Company,
____________________________________________________________________________________________________
5.) Please give a detailed description of the
materials and colors will be used in the construction project?
(Example: Natural wood color, treated pine, arch
topped privacy fencing)
____________________________________________________________________________________________________
6.) Please ensure that the following items are
attached with your application for approval:
A copy your
lot plan which indicates the placement of the purposed construction
A drawing or
picture of the project, including dimensions, as it will appear after
completion.
I, _______________________________, do
acknowledge and understand that Architectural Control Committee (ACC) approval
grants to me the approval of the ACC from an architectural view only, and any
purposed construction may also be subject to a building permit and inspection,
which may be obtained by application from the city or county where my property
is located.
I further understand that any fence,
swimming pool or structure which is situated within any utility and drainage set
back remains subject to damage or removal at my own expense, in the event that it
interferes with maintenance performed by my local utility company or is deemed
necessary by the county where my property is located. I
further acknowledge that
________________________________________________________________________________________________________
Applicant Signature Date
(Do not write below this line. To
be completed by the Director of
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APPROVED AS SUBMITTED
DENIED
DENIED (pending additional information)
(If checked, please see attached request for
additional information)
________________________________________________________________________________________
Tom
Pendleton, Director ARB Date