HomeMy WebLinkAboutHOA Form.pdfAFFIRMATION OF NOTIFICATION
Homeowner’s Association and/or Architectural Control Committee
Permit Number*
Subdivision Name*
Address
Type of
Improvement*
Please Check One*
Date
Signature*
B-2023-01094
Example B-2023-01234
N/A. There is no subdivision name
City
Carmel
State / Province / Region
IN
Postal / Zip Code
46033
Street Address
11715 River rd
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.
9/6/2023
Signature of Owner or Authorized Agent