|  | PineRidge Homeowner Association - Lifestyle Homes & Villa/Carriage Homes - Architectural Review Application
 
 Applicant Name: _______________________________________________________________________
 
 Address: _____________________________________________________________________________
 
 Work Phone: ____________________
  Home Phone: ______________________________________ 
 Original Request:_________________
  Resubmission: _____________________________________ 
 Type of Residence:
  Patio Home_______ Duplex________ FourPlex_________ 
 Type of Improvement:
  Addition _____ Landscaping _____ Patio Cover _________ 
 
  Deck/Patio_____ Painting ________ Other _____________ 
 Describe Improvement:__________________________________________________________________
 
 _____________________________________________________________________________________
 
 Attachments: _____________________
  Number of Pages: _________________________________ 
 Planned Start Date ________________
  Planned Completion Date ___________________________ 
 Note: I understand that I must receive approval of the ARC in order to proceed. I understand that ARC approval does not guarantee compliance with the requirements of local and national codes, zoning, safety issues, health issues, welfare issues, etc. I have read the CC&Rs and ARC Guidelines and agree to comply with these documents. I agree to complete improvements after receiving approval and upon completion, notify ARC for inspection.
 
 Date: _________________________
  Signature: _______________________________________ 
 *************************************************************************************
 
 Request No: ___________________
  If resubmission / Original Request No: _________________ 
 Approved as submitted. ________________________________________________________________
 
 Approved, subject to the following: ________________________________________________________
 
 ____________________________________________________________________________________
 
 Denied for the following reasons: _________________________________________________________
 
 ___________________________________________________________________________________
 
 Notes: The ARC shall not be liable in damage to any person submitting requests for approval or to any owner within the properties by reason of any action, failure to act, approval, or disapproval or failure to approve or disapprove with regard to such requests. Additionally, there shall be no liability imposed on the ARC, its members, agents, successors or assigns for any loss, damage or injury arising out of, or in any way connected with the performance of the duties of the ARC. The ARC reserves the right to waive or vary any procedure, standard, and/or regulation for good cause shown.
 
 Date Received: _________________
  Date Returned to Hallmark __________________________ 
 Date Completed: ________________
  Date Inspected: __________________________________ 
 ARC Signature: ____________________________________________________________________
 
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