THORNLEIGH IMPROVEMENT ASSOCIATION, Inc

THORNLEIGH IMPROVEMENT ASSOCIATION, Inc.

Exterior Change Request

Submitted To: ______Date: ______

Covenant Committee Member

From: ______Property Owner(s)

Address: ______

Day Telephone: ______Evening Telephone: ______

Wireless Phone: ______e-mail Address: ______

Detailed Description of Improvement (include location, size/dimensions, materials, and colors): ______

Attach detailed, legible sketches, drawn to scale, photographs, and/or brochure images to fully depict the proposed improvement. Also attach physical samples of all materials and colors.

Any proposed structural changes such as additions, large sheds on concrete slabs, garages, carports, etc… must be submitted with architectural drawings and a copy of your property plat indicating where the proposed improvement(s) will be located. This plat can usually be found with your settlement papers, and should also be on record with Baltimore County.

Name and Phone Number of Contractor: ______

Expected start date: ______Expected completion date: ______

Will a Baltimore County building permit be required? Yes ____ No ____

Will a Baltimore County zoning variance be required? * Yes ____ No ____

* Obtaining a zoning variance from the county does not constitute permission to proceed without written authorization from the Thornleigh Improvement Association, Inc.

Adjacent Neighbor Contact Information:

______

Next Door Neighbor Phone Number Street Address

______

Next Door Neighbor Phone Number Street Address

______

Back Neighbor (if applicable) Phone Number Street Address

______

Back Neighbor (if applicable) Phone Number Street Address

I hereby certify that the information I have provided is accurate to the best of my knowledge and that all neighbors listed above have been notified of my plans. I further certify that, once approved, I shall construct the proposed improvement according to the approved plans, schedule, and specifications. All materials for the project will be delivered and kept on my lot, and it is my responsibility to restore the area to its original condition once the project is completed. Permission is hereby granted to members of the Thornleigh Improvement Association’s Covenant Committee, and its representative, to enter on my property as necessary to review the proposed project.

______

Signature(s) of Property Owner(s)