Design Review Request

Management Specialists, Inc.

390 Interlocken Crescent, Suite 500

Broomfield, CO 80021-8041

(303) 420-4433 Broomfield * (303 751-6564 Aurora

(3030 734-9013 Littleton * (970) 635-0498 Loveland

FOR OFFICIAL USE ONLY

Date Received MS _____________________

Date Sent To Committee ________________

Date Rcvd From Committee _____________

CM _________________________________

Name: __________________________________________________  Association: _______________

Address: ________________________________________________  Home Phone: ______________

City: ____________________ State: _________ Zip: ____________   Work Phone: _______________

My request involves the following improvement:

Describe improvements (attach documentation as needed):




Planned completion date: ___________

 
Date: _________ Homeowner’s Signature: ___________________________________________

Committee Action:

  Approved as submitted

  Approved subject to the following requirements:




  Disapproved for the following reasons:



Completion required by: __________________________________________________________ 


Committee Member Signature: ________________________________Date: ________________