ARC Form

HOA/COA ARCHITECTURAL APPLICATION

SUBMISSION OF PLANS TO ARCHITECTURAL COMMITTEE

DATE SUBMITTED: ___________________ NAME: ___________________________________________

ADDRESS: ______________________________________________________________________________

HOME PHONE: _______________________________ WORK PHONE: ______________________________

Please describe the changes you propose to make to your property, including: location, dimensions, materials, design, etc.:

_________________________________________________________________________________________

If applying for approval of paint or stain, please attach a paint/stain chip, type and color. Please attach two (2) copies of a drawing of proposed change, where applicable. Also, attach a photo of changes, where applicable.

This application does not exempt you from obtaining, where necessary, any Local/County permits and contacting Miss Utility, if relevant to the change desired. If using a contractor for said work, please furnish us with the following information:

Contractor: __________________________________________ Phone: ________________________

Address of Contractor: _________________________________ License No.: ____________________

THIS APPLICATION IS NOT AUTHORIZED UNTIL APPROVED BY THE ARCHITECTURAL COMMITTEE.

Please return this completed form and all pertinent information to:

KLR Property Management, Inc. · 19 Walker Ave, Suite 300 · Baltimore, Maryland 21208 · Fax: 410-653-0094

DO NOT WRITE BELOW THIS LINE

This application has been reviewed by the Architectural Control Committee of the Homeowners Association and has been:

APPROVED as submitted DISAPPROVED with changes DISAPPROVED as presented

AUTHORIZED SIGNATURE: ____________________________________ DATE: _______________

PRINTED NAME: _______________________________________________________________________