Roxborough Park Foundation - Nabr Network

Design Review Committee Request for Design Approval

DATE: *

PROPERTY OWNER(S): *

MAILING ADDRESS: *

PHONE: *

CELL: *

FAX:

EMAIL: *

NAME OF APPLICANT: (IF DIFFERENT THAN OWNER)

EMAIL ADDRESS:

PHONE:

DESCRIPTION OF WORK TO BE COMPLETED: *

ARCHITECT:

MAILING ADDRESS:

PHONE:

FAX:

CONSTRUCTION FIRM:

MAILING ADDRESS:

PHONE:

FAX:

SURVEYOR:

MAILING ADDRESS:

PHONE:

FAX:

CONSTRUCTION DATES:

START: *

FINISH: *

Along with the application submittal, PLEASE ATTACH 7 COPIES OF THE FOLLOWING:

1. Site Plan showing: lot dimensions; outline of home and garage with setbacks; names and positions of adjacent streets/alleys; dimensions of improvement (height, width, depth), with setbacks to all boundaries; and an indication of North.

2. Visual(s) of improvements such as; drawing, photo, brochure/ad, paint swatch(es), material samples, etc.

I understand that in order for this request to be considered, I must be current in the payment of Assessments and otherwise in good standing. I understand that all improvements must comply with the Covenants and Guidelines federal, State and County regulations, and approval must be received from the Association before proceeding with the improvements. I understand that Association approval does not constitute approval of local/county building departments, and I may be required to obtain a building permit. I agree to complete improvements in a timely manner after approval from the Association. I understand the DRC has 30 days from the time of the request is marked “complete” to review it.

You will be notified either via email or mail of the decision.

HOMEOWNER SIGNATURE: *

DATE: *

COMPLETION DATE: *