Name

Mailing Address

City State Zip

Telephone Home Work FAX

In accordance with the Declarations of the Covenants, Conditions and restrictions and the Association's rules and regulations, I hereby request your consent to make the following changes, alterations, renovations and/or additions to my property:

Description: ( 4 lines )

Attach a copy of your lot survey with the location of the proposed change, alteration, renovation or additions highlighted. Include a drawing or blueprint of your plans and color samples if applicable.

NOTE: Applications submitted without copies of survey, drawing, blueprint or color sample will be considered incomplete.

Maximum height for a fence is six feet (6') with the exception of lakefront homes where the maximum height is three feet (3'). Fences should be a minimum of ten feet (10') back from the corner of the home. The good side of the fence must face out.

I/We Hereby understand and agree to the following stipulations:

1. No work will begin until written approval is received by the Association.

2. All work will be done expeditiously once commenced and will be done in a good workmanlike manner by a licensed contractor or myself.

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3. All work will be performed at a time and in a manner to minimize interference and inconvenience to other residents.

4. I/We assume all liability and will be responsible for all damage to other lots/or common area or injury which may result from performance of this work.

5. I/We will be responsible for the conduct of all persons, agents, contractors, subcontractors and employees who are connected with this work.

6. I/We are responsible for complying with and will comply with all applicable federal, state, and local laws, codes, regulations and requirements in connection with this work, and I/We will obtain any necessary governmental permits and approval for the work.

7. I/We will contact the underground cable locating service, "Call Sunshine", 48 hours prior to digging at 1-800-432-4770.

8. Upon receipt, Asset Real Estate will forward the ARB Applications to the Association. Decisions by the Association may take up to sixty (60) days. I/We will be notified in writing when the application is approved or disapproved.

Signature of Owner: ____________________________ Date: ____________________

----------------------------------- DO NOT Write below this line ------------------------------

Signature: ___________________________________________________ Date______________

Comments: ____________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Date Received: ____________

Date to Association: ____________

Date to Owner: _____________

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