Renaissance Ridge and The Reserve

Architectural Control Committee Application

Date: _____________________

1. Name: __________________________________________ Lot #: ______________

Address: ______________________________________________________________

Telephone: (home) ___________________ (work) __________________ (fax) ___________________

2. Address of proposed work: ______________________________________________

3. Description of work: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

4. Diagram, design and/or plans attached: ________ (yes or no)

5. Estimated start date: ________________ (Within 6 months of approval)

Estimated completion date: ___________ (Within 12 months of approval)

FOR A.C.C. USE ONLY ________ Approved as submitted

________ Approved with conditions (see below)

________ Not approved

Initials of A.C.C. Member __________________ ________________

Date

Initials of A.C.C. Member __________________ ________________

Date

Initials of A.C.C. Member __________________ ________________

Date