Architectural variance form

DESCRIPTION AND DIAGRAM OF REQUEST:

PLEASE NOTE: If you have photo, please attach them here or to the back of this page

PLEASE NOTE: A plat of survey may be required. Should you need additional space, please use a separate sheet of paper.

I acknowledge that I will be responsible for any maintenance and or damage to or caused by the above requested items, and with respect to such items, in consideration of the Board of Directors approval of the above request. I hereby waive all rights to exterior maintenance of such items under the Declaration of Condominium Ownership and of Easements, Covenants and Restrictions for the Association. I also acknowledge that I will contact the village/city for approval and permits if necessary and obtain these items at my own cost.

Type your name, or sign the printed copy by hand.