1st Reading - Restated A&A Rules

EXHIBIT R

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APPEAL OF A&A COMMITTEE DETERMINATION

Date:

Lot#

Owner(s) Name:

I hereby appeal a decision of the A&A Committee as follows: □ Denial of Request for Variance of A&A Rule on __________ _ (Attach a copy of the Request for Variance with the A&A Committee's Decision)

□ Disapproval of Plans and Specifications for Lot Improvement/Modification made on___________. (Attach Permit Application and copy of the A&A Committee's Determination) Provide below any information pertinent to the Board's consideration of this Appeal Request (attached additional pages if necessary):

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Date Appeal Considered by the Board of Directors:_____________

Appeal Approved D

Appeal Denied D

Notice of Board's Determination (Cop y Attached) Mailed to Owner on. ________.

CC: Lot File

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