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PERMIT #

PTEASE NOTE: YOU MUST SIGN REGARDTESS Or YOUR KNO$iLEDGE OF AN ACTIVE HOMEOWNERS
ASSOCIATTON.

TO: APPTICANTS FOR BUILDING PERMITS

RE: COMPIIANCE WITH PROTECTIVE COVENANTS

As port of your opplicotion for o building permit in Elberi County, you ore requested to
conioct the orchitecturol conirol committee or homeowners ossociotion, in your
neighborhood ond obtoin their opprovol of your plons prior to o building permit being
issued. By signing below, you ore representing to the county building deportment thot
to the extent thot such on entity exists, you hove mode contoct for the review ond
opprovol of your plons. Pleose be odvlsed thot the county does not enforce
protective covenonts or police violotions of such covenonts. You ore responsible for
the necessorv complionce with covenonis opplicqble to your oroiect.

APPLICANT PRINTED

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