Gilead Village Arc Request Form

Gilead Village HOA Exterior Modification Form REQUEST FOR ARCHITECTURAL REVIEW Submit all plans and specifications covering proposed change. Name:________________________________

Date:_________________

Address:_________________________________________________________ Home Phone Number: ______________ Work Phone Number:_____________ Type of Modification/Improvement:

Please attach a detailed description of modification/improvements, including (if applicable): 1. Location 2. Size 3. Color/Finish 4. Roof Design

5. Material 6. Contractor 7. Plans or Drawings of Structure 8. Copy of property survey (showing easements, property dimensions, building setbacks and proposed changes) 9. Signs (explaining what the sign will read, the size of the sign, where you intend to place it.)

Estimated Start Date:_________

Estimated Completion Date:_________

Date Submitted:_____________

Date Received by ARC:____________

ACC Action Date:_______________

Approved:______

Denied:_______

Please submit your original request along with one copy to CSI Property Management:  PO Box 4810, Davidson, NC 28036  Fax: 704-892-8531  Email: [email protected] Remember, no work can begin without prior written approval from the Board of Directors. . Please submit your request in ample time for review and approval. The committee will make its best effort to expedite all requests as soon as possible. The Board reserves the right to request additional information to clarify this request. Requests for multiple changes should be submitted separately (one for each improvement).

8/31/2009