Fleming Gardens Architectural Request Form

Form
Homeowner Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Contractors Name and Phone

NamePhone Number
Estimated Start Date

MonthDayYear
Date
Estimated Completion Date

MonthDayYear
Date
Description of Improvements and Materials
PLEASE INCLUDE ANY ADDITIONAL INFORMATION (PERMITS, PLOT PLAN,
SURVEY, BROCHURE, ELEVATIONS, PICTURES, ARCHITECTURAL PLANS, ETC…

Ronda Wilson
Keith Collins Company, LLC
3036 Centre Oak Way
Germantown, TN 38138

901-753-4170
---------------------------------OFFICE USE ONLY--------------------------------------
Submit date:_____________________ Approval date: _____________________
Approved by (name of board member)______________________________________________
Should be Empty: