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EXHIBIT A STONEHOUSE OWNERS FOUNDATION Application for Architectural Change
Please mail or deliver to: ARB/Stonehouse Owners Foundation OR Faxed Requests: c/o United Property Associates (757) 345-5385 103 Bulifants Blvd., Suite A Williamsburg, Virginia 23188 Further Information: (757) 345-5383
FROM: (Please type or print) NAME: _______________________________________________ ADDRESS: _______________________________________________ PHONE: _______________________________________________ FAX: _______________________________________________ E-MAIL: _______________________________________________ Description of changes desired – please give full detail of purpose and/or reason, type and color of materials to be used, and location on the property: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ If the request is for a change in paint color, please attach a sample and model number of the paint or stain. If the request is for a structural change, grounds planting, fencing, rearrangement, etc., please attach a copy of your plat which shows your property lines, location of your dwelling on the property and any easements, and provide a drawing on you plat showing the nature, shape, size, and relative location of Page 2 the change/addition you are planning. Ensure your proposal meets all local codes and easement requirements and contact MISS UTILITY at 1-800-552-7001 for guidance on digging and the location of your project. ALSO, please remember that the Virginia Department of Highways (VDOT) has a 25 foot right-of-way from the center of the street. This means homeowners have a 10 foot easement on their property that has restrictions. This would include irrigation, stones, plants, trees and planters etc. Items in this easement may require a permit or planting bond. You may want to contact VDOT before working in this easement. NOTES: 1. If approved, all construction shall be in compliance with your Application, the ARB Guidelines and the Stonehouse Owners Foundation Declaration of Protective Covenants and Restrictions as well as the applicable Building and Zoning Ordinances for the County of James City. Nothing herein contained in such approval shall be construed as a waiver or modification of any such restrictions or regulations. Nothing herein contained in such approval shall be construed as a certification of the structural stability or safety of the improvements proposed in the Application. 2. The code of James City County may require that you obtain a building permit or other approval in connection with the improvements proposed in this application. 3. I understand and agree that no work on this request shall commence until I receive written approval from the Architectural Review Board of the Stonehouse Owners Foundation. 4. This application usually takes 30 days for complete review. In the event additional information is required, the Architectural Review Board will notify the applicant of the same. 5. Any approval of your application shall expire 12 months from the date thereof if the approved improvements are not completed on or before such date. Owner(s) Signature: _____________________________ Date __________ _____________________________ Date___________ ************************************************************************ PLEASE DO NOT WRITE BELOW THIS SPACE ************************************************************************ Date Received: ______________________ Received By: _______________________ Date application sent to ARB for review: ____________________________________
Date reviewed by Architectural Review Board: ______________________________ Decision of Architectural Review Board: [ ] Approved as submitted. Date ________ [ ] Approved subject to modification(s) listed below. [ ] Disapproved for reason(s) listed below. ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Authorized Association Official’s Signature: _________________________________
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