MAIL TO:        Ron Valiga                              Hallmark Management, Inc                              ACC Ð Canterbury & Broadwick HOA                                      9250 East Costilla Ave. Suite 460
Centennial CO 80112-3307                                                                            Fax:  (303) 471-8713                                      Email: rvhallmark@aol.com                                      Phone: (303) 683-6444	Date Received  __________________________ Critical Date      _________________________   Date Sent to ACC  _______________________ Date Received from ACC  _________________

HOA ASSOCIATION: Canterbury & Broadwick HOA

HomeownerÕs Name:                                                                               

Address:                                                                                                Home Phone:  ____________________

City:  Castle Rock  State:  Colorado    Zip:  80108                                              Work Phone:  _____________________

E-Mail Address:                                                                                     

 

Mailing address if different than proposed improvement(s) ___________________________________________________ ___________________________________________________________________________________________________

My ACC request involves the following type of improvement:

q   Air Conditioner            q   Storm Door                      

q   Satellite Dish               q   Patio Awning                                                      

q   Other ___________________________________________________________________

___________________________________________________________________________________________________

 

Describe Improvements: (Please submit awning color and material samples; installation location for satellite dish or air conditioner or awning; drawings; any pertinent information deemed necessary for the understanding by the committee. ) _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

___________________________________________________________________________________________________

 

Planned Completion Date:                                               

___________________________________________________________________________________________________

 

I understand that I must receive approval of the ACC BEFORE proceeding with any work.

I understand that ACC approval does not constitute approval of the local building department, and I may be required to obtain a building permit. 

I agree to complete the improvements promptly after receiving approval.

I understand the ACC has 30 days to respond (approve or disapprove) to my request. If I do not receive a reply at the end of the 30 days after submittal, my request will be deemed to have been approved.

 

Date:                               HomeownerÕs Signature:  _______________________________________________________

___________________________________________________________________________________________________

 

ACC Action:

 

q     Approved as Submitted.

q     Approved subject to the following requirements:  ________________________________________________________________________________________________________________________________________________________________________________________________

q     Disapproved  because ______________________________________________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________

 

 

Property Manager: ______________________________________________Date:  _______________________________________