Date: ____________________           Processing Fee (if applicable): $____________

 

Applicant/Homeowner: ______________________________________________________________

 

Property Address: ________________________________________________________________

 

Phone Number: ______________            Office Phone: ______________________

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Note: Submit two (2) separate packages including this form and attachments.

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Modification Request: (provide a brief description as to nature and location of modification.  If applicable, attach drawings, pictures, catalogue cuts, samples, etc.  Include a site plan showing dimensions and location of proposed construction.)

 

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Location of similar approved modifications, if known: _____________________________

 

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Estimated Start Date: ____________            Estimated Completion Date: ____________

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Permission is hereby granted for members of the Architectural Control Committee and appropriate Bright Water representatives to enter the property to make reasonable inspection of the modification and it’s proposed location.

 

Applicant’s Signature: ____________________ Date: _____________________

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Date Received by ACC ___________________________ Initials_____________

 

Date Approved by ACC___________________________ Initials_____________