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DELAWARE TRACE/COMMONS PROPERTY OWNERS
REQUEST FOR ARCHITECTURAL CHANGE
Please Print
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1. Name: - '(r Pil 'ti- 2iYy'Lsi
Address: Sasy. � QYILI 4h1J 7rA.l_I...
Lot #
Phone: —�17 - �/ -.(fC/d /
Fax:
.AORISL SUBMISSIONS THE FOLLOWINGAi'TACHMENTS ARE REQUIRED:
❑ The builder m dosing furnished you with a plot plan for your lot.
Plesse draw the change in the location ofwhere the proposed addition/improvement will be built (on a copy).
❑ Please includc Elevations and Blueprints or working drawings indicating an dimensions.
❑ if available, a photograph or drawing of a similar completed project
THE COMMITTEE HAS UP TO 30 DAYS TO REPLY—PLEASE PLAN ACCORDINGLY—THANK YOU!
2. Requesting archimcnrral approval of die follo
Improvement Addition Repair/Replacement
3. Briefly describe the proposed change: OAA&9. Q C6vk_reA pr)mll OU'er
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Location: Ac\ c.ie A ef,.Z
Dimensions:
4. Please list below the major construction materials that will be used in this project Be as specific as
ry zc ch house
Requests for exterior color/matedals changes MUST submit samples of color, paint, brick, etc.
(Exterior materials must conform to the original construction or be sufficiently compatible.)
Now All submitted materials will be retained by the Association.
You may wish to make a copy for your personal records.
Will any part of the proposed improvement extend beyond your property line? Yes _No J
If yes, signature and address of the affected homeowner must be provided below:
Signature Printed
Address
G. Would any part of the proposed improvement extend into any Common Area, Utility, Drainage or
Sewer Easement, Landscape Easement, Landscape Presery . n Easement or Lake Easement shown on
the plot plan of your lot? Yes No
7. Project schedule:
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