GREENFIELD HOMEOWNER’S ASSOCIATION



GREENFIELD HOMEOWNERS’ ASSOCIATION

c/o NORTHERN VIRGINIA MANAGEMENT telephone 703-941-9002

4306 EVERGREEN LANE #101 fax 703-941-9005

ANNANDALE, VA 22003 e-mail nvm@

REQUEST FOR APPROVAL BY THE

ARCHITECTURAL CONTROL AND MAINTENANCE COMMITTEE

(ACMC)

NOTICE: THIS FORM MUST BE COMPLETED AND SUBMITTED TO THE ACMC PRIOR TO MAKING ANY CHANGES TO THE EXTERIOR OF ANY HOUSE OR PROPERTY IN THE COMMUNITY. (See Article V, Declaration of Covenants and Restriction).

PROPERTY OWNER: ________________________________ DATE: ___________________

ADDRESS: ____________________________________________ LOT NUMBER: _________

Below describe the architectural change(s) you would like to make. Also, please attach supporting documentation i.e., paint color; siding colors; diagram; blueprints; pictures showing example of style; copy of application for building permit from Fairfax County (if required by law), or any other documentation necessary to describe the change(s).

____________________________________________________________________________________

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Date received by ACMC: ________________ Date of ACMC Consideration ______________

Approved: ________ Disapproved: ________ Approval with modifications: _______________

Specify:

ACMA Chairperson: _______________________________________________________________

__________________________________________________________________________________

Follow-up inspection by: ______________________________________ Date: _______________

Remarks: ________________________________________________________________________

__________________________________________________________________________________

PLEASE SUBMIT TO THE ACMC VIA THE MANAGEMENT AGENT AT THE ADDRESS LISTED ABOVE OR BY FAX OR EMAIL.

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