2189804architectural change application .pdf

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Architectural Control Committee
c/o TMGA
20440 Century Blvd, Suite 100
Germantown, MD



FROM: ______________________________

Phone (home): _________________________

Address: _____________________________

Phone (other): _________________________


Email: ________________________________

Directions: (Please print or type) This must be completed.
Please use area below to briefly describe all proposed improvements, alterations, or changes to
your lot or home. This must be attached: sketches, drawings, clippings, pictures, catalog
illustrations, and other data. You must show location of item on your property on a copy
of a survey plat. Also, a full list of materials, colors, dimensions, sizes etc. must be included.

Consent of at least four (4) property owners who are most affected because they are adjacent
and/or have a view of your change is generally required. Should one of your neighbors
disapprove please so indicate with the reason for their disapproval noted in the comments
section. Their sign atu res indicate an awareness of your intent and do not constitute or indicate
approval or disapproval by the committee.
Name: _______________________________
Address: _______________________________
Lot #:
Phone: _______________________________
Signature: ______________________________

Name: _______________________________
Address: _______________________________
Lot #:
Phone: _______________________________
Signature: ______________________________

Name: _______________________________
Address: _______________________________
Lot #:
Phone: _______________________________
Signature: ______________________________

Name: _______________________________
Address: _______________________________
Lot #:
Phone: _______________________________
Signature: ______________________________

Owner’ Acknowledgements:
I understand….
1. …that nothing herein contained shall be construed to represent that alterations to land or buildings in
accordance with these plans shall 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 of modification of any said construction.
2. …that no work on this property shall commence until written approval of the Architectural
Control Committee has been received by me.
3. ...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.
4. ...that any approval is contingent upon construction or alteration being completed in a workmanlike
5. ...that members of the Architectural Control Committee are permitted to make a routine
6. ...that a copy of this application will be returned to me after review of the Architectural Control
7. …that there are architectural requirements covered by the Covenants and a review board
process as established by the Board of Directors.
8. ...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.
9. ...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.
10. ...that any variation from the original application must be resubmitted for approval.
Owner/Applicant Signature:

Date: ________

Co-owner/ Applicant Signature:

Date: ________

REMINDER: Attachments that must be enclosed with the ACC Application in order to
speed up the process or the application will be sent back to you:

(1) Either a photo, catalog illustration, drawing, or picture, etc...
(2) Copy of survey (pat map) marked with change being requested.
(3) A completed application including signatures and a full description of changes or
what is being built.

Date Received: ______________________



Date: _______________________________

Disapproved: __________________________

Date: _______________________________





Date: _______________________________

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