In accordance with the Declaration of Covenants, Conditions and Restrictions of

Select Community ARBOR TERRACE BEACON PLACE BERKLEY VILLAGES NORTH BOOTHWYN CANDLEWOOD CLIFTON MILL DANCER FARMS DEERBROOK ONE DEERBROOK TWO ESSEX MEWS FOUR SEASONS GRACEWOOD GLEN HOPEWELL GRANT JOCKEY CLUB KING JAMES LAFAYETTE GREEN MEADOW WOODS MOUNTAINVIEW OAKCREST PADDOCK CLUB PENNY LAYNE POINTE OF WOODS HOA SOCIETY HILL HAMILTON 2 SUMMIT NEPTUNE TANGLEWOOD THE CLUSTERS AT CLIFTON MILL THE COLONY AT CLIFTON MILL THE COMMONS AT CLIFTON MILL VILLAGE MEWS WILLIAMSBURG VILLAGE

I hereby apply for permission to make the following alterations to the premises as described below:

NOTES:
1. If applicable, the materials used and the color must conform with the existing materials and color.
2. Email, fax or mail appropriate sketches and/or drawings with description of work to be done.
3. Indicate materials to be used, color and other pertinent information including name and telephone number of contractor.
4. A plot plan and closing survey must also be submitted indicating placement of decks, patios, landscaping, etc.
5. All modifications and any damaged caused by the modification become the homeowner’s responsibility.
6. Modifications are subject to inspection by the Board of Directors / Architectural Control Committee for compliance with regulations and approvals.