I hereby apply for approval to make the property modification(s) described in this application. If my application is approved, I understand that the approval is only for what I have indicated below and is based upon the facts that I have presented.

I UNDERSTAND THAT NO WORK IS TO BEGIN UNTIL WRITTEN APPROVAL IS RECEIVED FROM THE BOARD OF TRUSTEES.
Description of Property Modification(s):Fill in*     
Please specify the color of siding, trim, roof, shutters, house door, etc... Fill in   
As appropriate, I have:
·        Attached a drawing to scale or rendering of the modification or photo of the exterior building and property
·        Attached a copy of the plat showing house dimensions and property lines
·        Attached a copy of the manufacturer’s brochure or advertisement
·        Specified the type of materials to be used (glass, wood, aluminum, vinyl, or other)·        

Name, phone, and MHIC license number of contractor (if any)  

    Fill in*        

PERMISSION IS HEREBY GRANTED FOR MEMBERS OF THE ARC, BOT, AND CRESTWOOD STAFF TO ENTER  ON MY PROPERTY TO MAKE REASONABLE INSPECTION OF MODIFICATIONS PROPOSED/COMPLETED.

List/describe any modification which would warrant exception to ARC Guidelines:
    Fill in     

I understand that:
·        All necessary County permits must be obtained by owner before any construction can begin.
·        All work must begin within sixty (60) days of the date of approval, and be completed within ninety (90) days thereafter, or it will be necessary to submit a new application.
·        All maintenance required as a result of any changes/additions of this property modification is my responsibility and not that of the Homeowners Association.
·        Any damage that results to any portion of a building or property as a result of the modification
shall be my sole responsibility.
·        Crestwood Office must be notified within 10 days after completion of modification.

**After submission, an ARC member will contact the owner within 10 working days for an appointment.(See reverse side for ARC/BOT comments, if any)
Owners Signature*