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, �.....�� /�/�y�i3 <br /> J� <br /> � <br /> A,PPLICATION FOR WEDGEi�VOOp ARCHITEC'TtJRqi,pC'I'IVI'L�y � <br /> Date Received ����` �' i� <br /> Permit Number_ ��,� �; <br /> Before matcing any alterations, additions,or improvements to the exterior of a residence <br /> or lot by repairing, reconstructing,rebuilding,or improving after the house is built,the ' <br /> �IOMEOWNER MUST SUBNIIT AN AP�'LICATIQN TO THE <br /> ARCHITECTURAL COMMITTEE FOR APPROVAL. APPRQVED REQUESTS <br /> WILL EXPIRE SIX{6)MONTHS AFTER DATE OF APPROVAL. <br /> If using a contractor, they should be licensed and insured <br /> State what you wis6 to do. Permits are required to meet all current state, eounty,and <br /> city building requirements. All direct and indirect costs associated with the project atre <br /> the homeowner's responsibility. Sketch a drawing of your proposal on the back of this <br /> ap 1'cation if ne�ded. - , <br /> � �r� �� .��/G> ��'..Gc� tYL..�� <br /> _-��� � � <br /> ` ,� +� i -"`mst�'✓ <br /> . � <br /> J <br /> : <br /> Applicant �'o � e �x �-r-�� � Lot Number �i' <br /> Address - .��-� Phone No. I5-Sa� �,7��/o <br /> � . <br /> Signatiue of Applican ` <br /> AR.CHITECTURAL COMMITTEE � <br /> APPROVED PROJECT-DATE DENIED PROJECT-DATE <br /> r � ���._�� <br /> \, ) j •� <br /> " � -3�_/3 <br /> i'f.°'`�.r,�y� �-�t3�� `�''-3L�' �y' <br /> „i Y'� "�j,.,..._*c'�. �/l l �_����-•_--- <br /> � /'- _ <br /> , � :_._� - � - J '� <br /> , 1_ ^t. <br /> COMMITTE� CONTACT ASSIGNED TO PROJECT �,�i�,.�./ /--j,�,��°.- < -- � <br /> Homeowner needs to contact this person when project is completed Tel. ��'i�i_� `�'%�-:, <br /> APPROVED COMPLETED PROJECT DATE COI�4MENTS <br /> Signature of inspecting committee member <br /> HARMONIOUS-----WORKABLE----NEIGHBOR FRIENDLY <br /> Revised 12/14/2012 <br />