HomeMy WebLinkAboutBurden HOAPage 4
Homeowner Name & Number:-- nM' _ ." _ _ >tt_-' f
Date of Application:
Start Date of Project(s): _ L { i_ j y'
Completion Date: �� — rJ
Contractor(s) Name, Address & Number:
If Project is not completed by completion date homeowner is responsible for submitting to the ARC in writing
reason for delay with new completion date for approval.
This a licatiyn has been reviewed and is: P4�i
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Approved as s�sbmitted i `��V I�V� V), -
NO I
)LNOT Approved 0 5
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Additional Comments: