7
S
A
M
P
L
E
2
3
4
5
6
7
8
9
List any required building permits (if known).
Does your modification affect any common-use property, utilities, structures, or landscaping?
Please explain.
List the company(ies) and contact information performing work.
Company Name: Contact Name & Information:
Disclaimer: Certain modifications may require signed consent from neighbors. Please reference your
architectural guidelines to see if this step applies to you.
Modifications must not begin until after plans have been approved by the ARC. By signing below,
I understand that I'm required to obtain board approval before making any modifications to my
home or unit pursuant to the community's covenants, conditions, and restrictions. I acknowledge
my obligation to allow sufficient time for the processing of my request.
Homeowner Signature Date
Please submit application to:
For questions, contact:
You'll receive a timely decision within (XX) days of submitting a fully completed Architectural
Change Application form. Depending on the extent of the project and additional requests, a
decision may be delayed.
If you disagree with the ARC decision, please request information about the appeal procedure.
FOR ARCHITECTURAL REVIEW BOARD:
Official Determination
Approved
Approved with restrictions:
Denied
Additional Comments:
Architectural Review Board Head Signature Date
