Architectural Change Request Form Name * First Name Last Name Email * Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Block Lot Description of request * For additions and/or extensions to residences, attach blueprints. For fences, attach a sketch of where the fence will be placed, including precise measurements in regard to the residence, lot lines and existing fence. Also include fence height from the ground Name, address, and phone number of contractor * E-sign Here * Type your full name and adopt as your signature Any and all permits are the responsibility of the Homeowner and/or the Contractor. All work must be completed within 60 days from the approval date. Approved or Denied * Approved Denied Date * If denied, state reason and reference covenant restriction Thank you! Download Printable PDF Form
