Mallard Forest HOA

Architectural Review Committe Request From

Cut and paste this form into Word or word processor and print

Today’s Date: ______________

Name:______________________

Address:_________________________

Lot #___________________

Home Phone #:

Work Phone #:

TYPE OF MODIFICATION:

Fence ___________
Porch __________
Deck/Patio _________
Utility Building __________
Pool __________
Garage __________
Exterior Painting ___________
Addition __________
Carport __________
Other ___________

Attach on a separate sheet a detailed description of the improvements including, if applicable:

Location, size, color, material, contractor, copy of property survey, with proposed changes/additions shown, plans/drawings.

What is your estimated start date: _________
Completion Date: _________

Received By (Signature of Committee Member): ___________________

Date (Date Received): ____________

Approved _____________
Not Approved ___________________
Initials___________

Approved _____________
Not Approved ___________________
Initials_______

Approved _____________
Not Approved ___________________
Initials _______

Reason for non-approval: ________________________________________
________________________________________
________________________________________
________________________________________

Please include THREE (3) complete copies of request. One will be returned with Committee response. Requests for multiple changes should be submitted separately.

All applications should be mailed to: MALLARD FOREST HOMEOWNERS ASSOCIATION, INC., PO BOX 221037, CHARLOTTE, NC 28222