HomeMy WebLinkAboutCHANGE ORDER FROM ORIGINAL REQUESTi
Apr3018.04:31p Stephen Levi,-.SCANNED
772- __10657 p.2
BY
St. Lucie County
CHANGE ORDER FORM TO AN ORIGINAL REQUEST
Please keep this copy for the future should you make modifications after submittal of the original ARB
Request.
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Name: Mary Ellen Glanakis Phone M 203-561-1288
Village. Harbour Village Address: 2503 NW Hollyberry Lane
Date: 4/30/201 B
This form shall be used to make any modification of plans or requests previously approved by the
Architectural Review Board (ARB). It must be submitted to, and approved by, YOUR VILLAGE and
ARB PRIOR TO SUO MODIF11CATIaN. Please check the area(s) of change and supply detailed
description and/or supply (as appropriate) drawings, pictures or samples for further consideration.
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® 1. Changes to architectural plans. ❑ 7. Pavers, pathways and driveways
❑ 2. Rooftiles ❑ S. Gates
❑ 3. Exterior doors ❑ 9. Size or configuration of patio or pool
0 4. Windows
❑ I o. Colors of house, trim, doors
❑ 5. Hurricane Shutters ❑ 11. Shrub and tree plantings
® 6. Screen Enclosures and/or pool fencing ❑ 12. Location of generator and/or propane tank
❑ 13. Other (specify) :
VILLAGE BOARD U.I pONSSE: Date Received:
The Board of Directors V approves disapproves the above altenition by the tally of
votes FOR and AGAINST. Response from neighbors attached, if applicable.
Comments:
Date of Village Board Meeting: Signature of Village President:
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ARCHITECTURAL REVIEW BOARD RESPONSE: Date received:
Date Reviewed: S- /Cf_ Decision: Approved Disapproved
Comments:
Date returned to Applicant and Village President:
C 1 Signature of ARB Chairman
Revved 2 =I•r �