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Request for Architectural Approval
PLEASE ALLOW 30 DAYS FOR RESPONSE
Uwe request pe ssion to make improvements upon my/our lot.
Lot #� Pond Lot Yes No �
�
Namelsl %� -� �— �-irvK C�rSC- Address
Telephone � � 7 ��/�' >/..i Z E-Mail (opdonal)
Ueneral d�scsiprion of improvement:
Materials ?o be used
Q� c.
Type of fa�ce and material Fence color/type of wood
Extaior paint cobr(sj S,4i+� (i��c;c a (a c� �v T
Otha pectinent infoimation _
G`IZT.�:�=
Estimated completion date
Include with this form:
5, Cop} of plans and/or a diagram of the proposed improvement, including details of materials and finishes
j�(paint samples, product literature, landscaping plans, azchitectural drawings, etc.)
All dimensions related to improvement (height, width, fence dimensions, etc.)
❑ Copy of plat surveyor plan for your lot with the proposed improvements drawn on the plan exacfly
whae it is to be located
❑ OthQ literatiue or information which may be applicable to ihe project
� Copy of approved City of Carmel building permit (exterior addidons and renovations)
_'Jore: Addidona! information may be requested if above items are not included.
I,lwe �mderstand and agree if the request for architectural approval is granted that we (A) may have to the
appropriate govemmental agency for any required building permiu; (B) we must comply with codes,
requirem�ts, etc., in t6e construction of our improvement; and (C) that construction will not start until an
approved copy of this request is received. We further understand and agree that approval of this request ma}� be
withdrawn if the improti'ement (A) is not constructed exactly as it has been approved; (B) is not located exact
location approved; or (C 1 is not completely constructed within 60 days of the date of appmval.
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SIGNED
Homeowner(s) Sienature(s)
Printed Name(s 1 � _ �
PROPERTY OWNERS MUST SIGN TffiS FORM):
ARCHITEC'TURAL COMMITTEE USE ONLY
Date request form recei��ed �-�/�-���;���
PROJECT IS r1PPROVED i
1 �
( �;,,�t�- -c,K - �
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Date request granted/denied
�. n
PROJECT IS DENIED
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