* Owner's Full Name:

* Tuckerman Station Street Address:

* Owner's Email:

* Owner's Phone Number:

* Description of Change:
Please use area below to briefly describe all proposed improvements, alterations or changes to your lot or home.

Attachments (if required):
Attach required details by sketches, drawings, clippings, pictures, catalog instructions and other data. Show location of item on your property on a copy of the survey. Acceptable file types are PDF, JPG, JPEG, and PNG. Each file must be no larger than 5MB.

Owner’s Acknowledgements:

1. I understand . . . that nothing herein contained shall be construed to represent that alterations to land or buildings in accordance with these plans shall not violate any of the provisions of building and zoning codes of the county to which the above property is subject. Further, nothing herein contained shall be construed as a waiver or modification of any said restriction

2. . . . that any construction or exterior alteration undertaken by me or in my behalf before approval of this application is not allowed; that, if alterations are made, I may be required to return the property to its former condition at my own expense if this application is disapproved wholly or in part; and, that I may be required to pay all legal expenses incurred.

3. . . . that any approval is contingent upon construction or alterations being completed in a workmanlike manner.

4. . . . that members of the Architectural Control Committee are permitted to make a routine inspection.

5. . . . that a copy of this application will be returned to me after review by the Architectural Control Committee.

6. . . . that there are architectural requirements covered by the Covenants and a review board process as established by the Board of Directors.

7. . . . that the alteration authority granted by this application will be revoked automatically if the alterations requested have not commenced within 180 days of the approved date of this application and/or completed by any date specified by the Committee.

8. . . . that all proposed improvements must meet county codes. My signature indicates that these standards are met to the best of my knowledge. I understand that application for all required building permit(s) are my responsibility.

9. . . . that any variation from the original application must be resubmitted for approval.

* Owner's Signature:    typing in your name will be acceptable by the ACC

Co-Owner's Signature:    typing in your name will be acceptable by the ACC

* Submission Date: