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).
____________________________________________________________________________________
************************************************************************************
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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