STONEWAY HOMEOWNER REQUEST FORM

Architectural Control Committee

Submission of plans:

Name _____________________________

Address _____________________________

Lot # _____________________________

Date Submitted _____________________________

Signature _____________________________

Summary/Description of plans:

Please attach plans, picture, or drawing.

Project must be completed within 9 months of approval.

Signatures: _________ _______________________ _______________________

Date Approved Disapproved

_________ _______________________ _______________________

Date Approved Disapproved

_________ _______________________ _______________________

Date Approved Disapproved
Notes from ACC (do not write in this space):

This form is for the approval or disapproval by the ACC of any type of construction or alteration to your
home or property as specified in the covenants. All work must conform to county/state regulations.
Approval is contingent upon copies of all permits being provided to the ACC. Two signatures are
required for approval.

Project Completed ___________ __________________________________

Date ACC Signature