Date Approved ________
EXHIBIT D - Change Order (ADDENDUM) For a previously approved Permit for Lot Modification
Date Finaled _________
Date Entered __________
In order to be valid this Change Order will be attached to the Original Permit for Lot Modification. All the same restrictions and rules that apply to the Original Permit for Lot Modification will apply to this Change Order . Changes that require approvals from multiple A & A Committee members will require a new permit to be issued (i.e. shade structures, outdoor kitchens, etc.).
______________________________________ __________________________ Lot #___________________ Owner Name Phone
Date of Original Permit for Lot Modification ______________Date Permit approved ________________________
Original Permit for Lot Modification Approved by:
_________________________________________________________________________
Instructions:
• Provide a detailed description of the work to be added to or changed. • Provide contractor information • Submit this form with supporting documentation. This plan must be approved by an A&A representative BEFORE work may start. • Installations not in accordance with the permit shall be removed and/or brought into compliance at the expense of the owner or owner’s agent.
Description of the CHANGE to the Original Permit for Lot Modification:
_____________________________________________________________________________________________
___________________________________________________________________________________________
_____________________________________________________________________________________________
__________________________________________________________________________________________
Contractor Name: _______________________________________________________________________
Change in Hardscape-85%/Softscape-15%?
Hardscape Total after changes ______________________
Softscape Total after changes _____________________
Approval of Change Order by:
Final approval of work completed:
___________________________________________ A&A Committee Member or General Manager
______________________________________ A&A Committee Member or General Manager
Date:__________________________________
Date: _________________________________
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