HomeMy WebLinkAboutHOA Form (5)AFFIRMATION OF NOTIFICATION
Homeowner’s Association and/or Architectural Control Committee
Permit Number*
Subdivision Name *
Address
Type of
Improvement*
Please Check One *
Date
Signature*
B-2022-01428
Example B-2022-01234
Eden Estates
City
Carmel
State / Province / Region
IN
Postal / Zip Code
46033
Street Address
3614 Brumley Way
Address Line 2
New Structure
Addition - Room
Addition - Deck
Accessory Structure
Solar Panels
Swimming Pool
A Homeowner’s Association and/or Architectural Control Committee does not exist for
this subdivision.
The Homeowner’s Association and/or Architectural Control Committee for this
subdivision is inactive.
The Homeowner’s Association and/or Architectural Control Committee for this
subdivision has been notified and has approved the construction plans I am submitting
for building permit approval.
10/26/2022
Signature of Owner or Authorized Agent