Application for Architectural Improvement

Application for Architectural Improvement

Ventura 21, Inc.
Date

MonthDayYear
Date
Property Owner Name:

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
LOT # (if known):
Email
example@example.com
Estimated Start Date:

MonthDayYear
Date
Estimated Completion Date:

MonthDayYear
Date
Type of Property:
Home Color:
Type of Improvement:
Item(s):

Other
If "Other", please describe:
*Construction, repair, or replacement of patio, fence/deck may require Village of Roselle Building Department permit. A plat of survey must be included with application, showing location and dimensions of fence, patio, or deck.
Material(s):
Color(s):
Dimensions:
Supplier/Contractor:
Cost Estimate:
This application is valid for a period not to exceed three (3) months from the date of approval. If a Village of Roselle Building permit is required for the improvement, Architectural Control Committee approval is contingent upon obtaining such documents without zoning variance.

I/we understand the Architectural Control Committee Rules and Regulations are subordinate to the Declaration of Covenants, Conditions, and Restrictions of Ventura 21 Inc., both of which may be subject to change from time to time. I/we understand the rules concerning the proposed improvements. I/we agree to abide by the rules set forth by the Architectural Control Committee and to be solely responsible for the upkeept, repair, maintenance, and damages incurred as a result of this improvement.
Signature of Owner
Please do not complete any fields below this line. Click "submit" below and your application will be sent to the Architectural Control Committee for review.
ARCHITECTURAL CONTROL COMMITTEE REVIEW

(to be completed by a representative of the ACC ONLY)
Determination
Denied in violation of:
Signature of ACC Chairperson:
Date:

MonthDayYear
Date
Returned to Applicant for:
Re-submission approval (by ACC Chair):
Date Approved:

MonthDayYear
Date
Should be Empty: