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Mehringer HOA 033122
Reset This Form Plum Creek Village Development Control Committee Architectural Approval Application You may fill this form out on-line, print it and mail to the Development Control Committee. Owner's Name- n . V f Email Address: Date: Street Address• _ illPhone Number: _ Lot Number: Cityj�tate%Code: © Fa�c,N ber: 3 I _33 �(J Describe the project being submitted for approval: 1. ° u..(/v / i74 ,���1 CX�vt • S Have y�u dtsmacsp roe � yo imme .eneg ors,,to. �.,.- deters e✓if the completion of this project will adversely effect the use or enjoyment of their property? YES NO Will you contract to have this project done? YES i/ NO When would you like to begin work on this project? Date:`` _G- When do you expect to complete work on the project? Date: Owner's Signature:Signature: �, "n Date: Please provide plans or show on the a4hed page a sketch of the proposed project in relationship to the existing house and location on the lot_ Development Control Committee Review Project Authorized ❑ Project Conditional Authorization El Project Denied Conditions of authorization or reason for denial of project: i �i• i Chairman of Development Committee: Development Control Committee Property Owners Association Board Member: Date: Date: Date: Plum Creek Village Homeowners Association P.O. Box 535 , Fishers, Indiana 46038