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Click here to enter Association Name
525 S. Independence Blvd. Ste. 200
Virginia Beach, VA 23452
APPLICATION FOR ARCHITECTURAL REVIEW
Date: Click here to enter a date.
Owner: Click here to enter text.
Address: Click here to enter text.
Telephone: H: Click here to enter text. W: Click here to enter text.
I
n accordance with the Declaration of Covenants and Restriction, I/We are requesting approval for the following
described alteration/change/addition, and have enclosed the documents designated below:
D
escription of alteration/change/addition:
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☐ P
lans and Specifications including type of materials to be used.
☐ S
urvey, Site Plan or Plot Plan showing location of addition or alteration on lot/in relation to existing
structures.
☐ I
llustration of any new or replacement components such as windows, doors, lighting, gutters etc.
☐ D
escription of plantings/trees to be removed or added.
☐ C
opy of city Building and Zoning Permits.
☐ Photograph/Drawings
☐ Other (please describe) Click here to enter text.
I
/we understand that I/we must wait for written approval before beginning the subject alteration and that
approval by the Architectural Committee does not release our obligation to ensure that the alteration is in
compliance with the applicable regulations for the city.
S
ignature Signature
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APPLICATION FOR ARCHITECTURAL REVIEW – Page 2
The request as described is approved.
Signature Date
The request as described is approved with the following conditions:
____________________________________________
Signature Date
The request as described is denied.
Signature Date
The request as described is denied because of the following conditions:
____________________________________________
Signature Date
MAIL COMPLETED APPLICATION TO:
Click here to enter Association Name
C/O United Property Associates
525 S. Independence Blvd. Suite 200
Virginia Beach, Va. 23452
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Completed 21 October 2021

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