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Project Name 19060083 —lot 9 Parkside Village
Plan I�
PARKSME MLAGEHOMEOWNER.S'ASS'OCUTION, INC
ARcMTEC71MA,L CONTROL COADHTTEE
urease con w1we1-b of&
1) Name_ _- 1 a LL 1n1 Phom 3 17 3 8 3 6 �q o
Address r
Mcidel or Unit Type
Lot Number
2) Briefly descibe the proposed change- _ i i q_ s v N_ 2 e
3) Will there be changes or modificattk= in basic utility services or existing structures
to accommodate the proposed change? Please indicate.
4) Please list below the major construction materials which will be used in this
project. Be as specific as possibic (aterior materWs must conform to those
used on the original building or be sufficiently compatible.)
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5) Please attach the following information:
A) Plot plan indicating the location and dimensions of the project.
B) Blueprints or working drawings indicating all necessary dimensions and
elevations.
C) If available, a photograph or drawing of a similar completed project.
Yes No
Yes No
Electric
Fxterior Walls
Telephone
Patio Fencing
.
Cas
— x
Patio Slab
Water
_ x
Sidewalks
_
Sewage
_
Pavements
x
TV Cable
x
Other
4) Please list below the major construction materials which will be used in this
project. Be as specific as possibic (aterior materWs must conform to those
used on the original building or be sufficiently compatible.)
VTl S; `',n_Z±e Mu`Fch - HP0,se
b Fov,- G(c-,Ls 51;d.�j DdoVS,
5) Please attach the following information:
A) Plot plan indicating the location and dimensions of the project.
B) Blueprints or working drawings indicating all necessary dimensions and
elevations.
C) If available, a photograph or drawing of a similar completed project.
b) Project schedule:
A) The project will be done by:
4Homeowner
—Contractor(s) Name
Both
B) Please indicate the approximate time needed to complete the project,
subsequent to the Board Approval. 2- Nk o K f h
Q Please indicate any building permits that will be required. r PyL f I I a Y
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NOTE:AH submitted materials shall remain the property of the Association You
may wish to make a copy for you personal. records. The Board/Architecunif
Committee is allowed up to 30 days from date of receipt to approve your request.
I hereby acknowledge that I have read and understand the ARCHITECTURAL
CONTROL STANDARDS set forth by the Board, as welt as the Declaration of
Covenants and Restrictions.
CommWee Action -
Honmowner's Signature
****DO NOT WMEBELOW****
Approved as submitted
Approved with conditions stated in comments
Deferred
( ) Additioitat information required:
( ) Ott"
{ ) Denied
Comments:
"'t .
Architectural CWntrc4t6min6ee Representative