ARCHITECTURAL CHANGE REQUEST POTOMAC CROSSING ASSOCIATION, INC

ARCHITECTURAL CHANGE REQUEST

POTOMAC CROSSING ASSOCIATION, INC.

Name
First Last
Property Address*
Lot Number*
Home Phone*
Work Phone
Email*
Fax Number
Estimated Start Date
MM slash DD slash YYYY
Projected Completion Date
MM slash DD slash YYYY
DESCRIPTION OF PROPOSED EXTERIOR CHANGE OR ALTERATION*
Please outline in detail all proposed improvements, alterations or changes to your lot or home. Include color, size, specifications, materials, location and any other pertinent information. Use additional pages as necessary. Please attach a sketch or picture of the proposed alteration as it will appear when completed.
Please ensure that all required supporting documentation (site plan, colors, material descriptions,etc.) are supplied with this Architectural Change Request. Applications submitted without the required support documentation will be marked “INCOMPLETE” and returned to the homeowner for resubmission. All properly completed ACRs must be received by the management agent by noon on the last Thursday of the month in order to be considered at the next ARC meeting. The ARC meets the first Thursday of every month. Homeowners and applicants are encouraged to attend the meeting.
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Consent*
I understand approval does not relieve me of the responsibility for obtaining any and all necessary Building Permits, Variances, and/or observing all local zoning ordinances. If approved by the Board of Directors I agree to make the changes under the terms and conditions specified in the letter of approval. All improvements must be on my property or property lines. If any portion of the Associations property is disturbed or damaged by either myself or my contractor, I agree to be responsible for and to restore the common elements to their original condition.
Homeowner Signature*
Date
MM slash DD slash YYYY