OVERLOOK AT NORTH LAKE HOA, INC.

ARCHITECTURAL AND ENVIRONMENTAL REVIEW COMMITTEE

REQUEST FOR ARCHITECTURAL MODIFICATION

INSTRUCTIONS:Please outline in detail all proposed improvements, alterations, or changes to your lot or home. Please include:

1)A sketch or drawing or picture in sufficient detail for the Committee to understand your improvement.

2)All improvement locations, specifications, and elevations.

3)All improvement materials and colors.

4)A plat of your property. Please mark the location of your improvement on the plat map.

YOUR APPLICATION WILL BE RETURNED IF THE INFORMATION REQUESTED IS NOT INCLUDED WITH YOUR APPLICATION.

RETURN THREE COPIES OF THIS APPLICATION AND ALL SUPPORTING DOCUMENTS TO:

OVERLOOK AT NORTH LAKE HOA

P.O. BOX 1130

GEREMANTOWN, MD 20875

NAME:______DATE:______

ADDRESS:______PHONE #:H:______

______W:______

NARRATIVE DESCRIPTION OF PROPOSED MODIFICATION: (Include additional pages if necessary). Separate forms must be submitted for EACH proposed modification:

______

______

______

______

SIGNATURES: Acknowledgment of at least two (2) property owners most affected by your modification because they are adjacent to or overlook your proposed modification is required.

NAME: ______NAME: ______

ADDRESS: ______ADDRESS: ______

NAME: ______NAME: ______

ADDRESS: ______ADDRESS: ______

HOMEOWNER’S ACKNOWLEDGMENTS: I/WE UNDERSTAND …

that the Board of Directors and/or Architectural and Environmental Control Committee reviews and approves architectural modifications for appearance and compliance with the architectural harmony of the community only. The applicant is SOLELY responsible for the design, structural integrity, and safety of his proposed modification.

that the material herein contained shall represent alterations which comply with the zoning and building codes of Montgomery County and the State of Maryland and nothing contained herein shall be construed as a waiver or modification of such ordinances.

 that no work shall commence until written approval of the Architectural Review Committee has been returned to the applicant. Further, If any construction or improvement is not allowed by the Architectural Review Committee, the applicant may be required to return the property to its former condition at the applicant’s expense, including any legal and administrative expenses incurred and fines imposed.

That approval of this application is contingent upon all work being completed in a workmanlike manner and to the specifications included with this application and the Architectural Review Committee reserves the right to routine inspections before issuing final approval.

That approval as granted by this application will be revoked if work has not commenced within ______days of the committee approval date and/or completed by the date specified by the ACC.

Your signature acknowledges that you have read, understand, and agree to the conditions listed above.

APPLICANT SIGNATURE:______

CO-APPLICANT SIGNATURE:______

FOR AECC USE:

APPROVEDAPPROVED WITH CONDITIONSDISAPPROVED (See COMMENTS)

(See COMMENTS)

COMMENTS

ACC CHAIRMAN SIGNATURES:

______

Date: ______

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FINAL INSPECTION:DATE:______

APPROVEDDISAPPROVEDAPPROVED WITH CONDITIONS

COMMENTS: 1/31/98