WOLHURST LANDING HOMEOWNERS ASSOCIATION
Architectural Control Committee
Design & Improvement Request Form
Name: ___________________________________________________________________________
Address:__________________________________________________________________________
Home Phone: ________________________ Work Phone: _________________________________
I am requesting authorization for the following type(s) of improvement or design change:
0 Landscaping 0 Deck, Patio, Slab 0 Roofing 0 Room Addition
0 Painting 0 Drive, Sidewalk 0 Fencing 0 Patio Cover, Arbor
0 Basketball Hoop 0 Satellite Dish, Antenna 0 Other-------_____________________
Note: If more than one type of improvement is requested, describe all using additional sheet as necessary.
Project Description (attach picture, drawing, diagram, or brochure):
Proposed Start Date: _________________ Proposed Completion Date:______________________
I understand that approval of the Architectural Control Committee is required prior to proceeding with this project. I also understand that ACC approval does not constitute approval of the local City or County building departments, and that a Building Permit may be required. I agree to complete all proposed improvements promptly after receiving ACC approval. Completion of project is required by the proposed date shown above. Any delay in such completion will be reported to the ACC Committee immediately. I have read these instructions and agree to comply accordingly.
Homeowner Signature: __________________________________ Date: __________________
ACC ACTION: 0 Approved 0 Approved subject to: 0 Denied because:
ACC Member Signature ______________________________________ Date ___________________