Summer camping temporary permit

Sugar Valley Lake Homes Assoc., Inc Summer Temporary Camping permit for Motor Home/Camper April 1 through October 31

I hereby request written permission from the Association to place the below listed motor home/camper on my building lot as provided in Article III, Section F of the Declaration of Covenants and Restrictions.

By signing this permit application I acknowledge (i) I am the owner of the camper/motor home below (ii) I have read, and agree to comply and shall be subject to, the Association's Temporary Camping Permit Restrictions.
Name

First NameLast Name
Address

Address

Street Address Line 2

CityState

Postal / Zip Code
Phone
Format: (000) 000-0000.
Location
Plat
Lot
Type of pad:
Make
Model
Brief Description/Color
License Number and State
License Year
Type of Sewage Disposal Used:
Anticipated date that the unit will be place on the lot

MonthDayYear
Date
Anticipated date that the unit will be removed

MonthDayYear
Date
Please attach picture of your camper.

Cancelof
I hereby authorize Association to remove the above unit to common storage area, at my expense, if I am in violation of any of the Association Governing Documents; and I hereby waive any and all right to recover damages to my personal and/or real property as a result of uch removal. Such removal shall be made no earlier than 14 days after a certified letter of notice has been sent to the owner at the address provided above.
Owner
Date

MonthDayYear
Date
Manager
Date

MonthDayYear
Date
Should be Empty: