Home Exterior Modification Application Form

Our management company has hard copies of this form if needed please contact them.

Owner/Applicant                                                                                                       

Contact Person                                                                                                           

Mailing Address                                                                                                        

Phone #                                               FAX #                                                           

q  Check here if you wish to be notified of the committee’s decision by email

Email Address ___________________________________________________________

Project Name                                                                                                             

Project Address                                                                                                         

PLEASE CHECK APPROPRIATE ITEM: 

q   Initial Submission                         q   Resubmission

REQUEST FOR APPROVAL OF:

q  Major Addition

q  Exterior Material, Finish & Color

q  Deck

q  Patio

q  Fence

q  Play Equipment

q  Landscape Plan

q  Other (specify)                                                                                                     

See “Project Submission Requirements” in the Design Guidelines Manual

 for information to be included with this form.

I hereby certify that the above-named person has the authority vested by the owner to commit to design changes and otherwise represent the property owner to the Modifications Subcommittee.  In addition, the information provided in this application is accurate to the best of my knowledge.  Permission is granted to members of the Modifications Subcommittee to enter the subject property as necessary in performance of their duties.

                                                                                                                                   

                      Owner’s Signature                                                     Date

 

Please return completed application to: 

Acer NW

5017 196th St SW #103
Lynnwood, WA 98036                                                                      

Submission deadline must be sent prior to work being done.  The committee will respond within a reasonable amount of time and their majority vote is final.