Exhibit P – Satellite Dish Siting Form
Date of Request: ____________________________ Lot Number: ________________________________________
Name of Owner(s): ______________________________________________________________________________
Telephone 1: _______________________ Telephone 2: _____________________
Description of Satellite Dish/Antenna: _____________________________________________________________________________________________ _____________________________________________________________________________________________ Preferred Location of Satellite Dish: Attach sketch or map to this Exhibit P Form to assist the A&A Committee in siting the dish in the least obtrusive surrounding areas.
Date/Time Available for Satellite Dish Siting: _________________________________________________________
Additional Aesthetic Considerations by the A&A Committee: _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________
I, owner of lot _________ understand and agree:
1. I have read the A&A Rules and, if applicable, have furnished copies to the contractor engaged by me for this installation. 2. I agree to comply with the A&A Rules. If applicable, I also understand that it is my responsibility to ensure that my contractor also complies with the A&A Rules. 3. I agree that it is my responsibility to secure proper building permit if required by the local governmental entity.
Signature: __________________________
_____________________________
Owner 1
Owner 2
(For A&A Committee/Administration Use Below Only)
1. Date of Request Received: ____________________ Date of Siting: _________________ 2. A&A Committee and Owner have sited this satellite dish installation and approved its location as describe: _______________________________________________________
A&A Committee Member Signature
3. Additional Comments and Requirements: ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________
Date: _________________________________ Approved By: ___________________________________________
Made with FlippingBook Ebook Creator