Date: _________________ Phone: __________________
Applicant: ___________________________________________
Address: _____________________________________________
City: _______________ State: ______ Zip: __________
APN #: ________________ Lot #: _____________________
Street Address of Property: ___________________________________
Proposed Development/Improvement: _____________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Work Schedule:________________________ /_______________________
(Approx. Start Date) (Approx. End Date)
Contractor: __________________________________________
Phone: _______________________
To the Architectural Control Committee:
You are hereby advised that the work described above is proposed and approval is requested. Attached are the drawings of all work proposed specifying site location and dimensions of the improvement.We acknowledge that any damage to our property or other property, including the RGO HOA common roadways, is to be paid for by the property owner.We agree to hold the Association and members harmless from any liability, damage, and/or loss resulting from the construction or performance of the proposed modification, whether or not constructed pursuant to approved plans, drawings, and/or specifications.Signature(s) of Owner(s):
__________________________________________________________________________