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To Page 2 013 2019.08.0613:21:34 (GMT)
HARBOUR RIDGE
VACNf a CaUWRT Ctua
12693812597 From Sandra Gilman
SCANNED
St. Luce County
12600 Huborraic?t;eamkvard• PabnthAy,iratda34M • (772) 33&3000 • (772) 336-1469
REQUEST FOR REVIEW BY
BARBOUR RIDGE ARCHITECTURAL REVIEW BOARD
(FORM TO BE SUBMirrEDlBYAPPLICANTTO HISMER VILLAGE BOARD OF DIRECTORS)
r b�5e'lc:t- £ f'1lo1GY cr, , Phone #: Y � Name: Lc.-�,-� '�� ��L: �.>�1� e�j
Village: AVt t65 Address: %.�5�5r`tl cif An s3B�tri X'r 7iG�- T L7 '
Date
Description of Proposed Change: (Attach Sketch and Site Plan, if applicable, plus copy of the attached
kpld Applicant/ARB Agreement): 4.nV c, Carc i r• 1 Xrgwe.s. i AIM .5
rrrv"f?{c
Name of Contractor. Z—?c:z-e a kj rc. a ot5 j Phone#. 77 y7-, �lrc /9r y
Address of Contractor.
Permission given to allow contractor access to home:
r
Ye% Not] S gneture f Applicant
CONDO VILLAGF, BOARD RESPONSE: Dale Received: P !
The Board of Directors approves_ disapproves the above alteration by;thetally of
votes FOR and AGAINST. Response from neighbors attached, if applicable,'
Commenu: Mr s.-.-R.. t%._�" aiL � ihv d �" y G. Pix O 1170&�4 Qi)NttAiPLY
Date of Village Board Meeting Signature of Village President:
ARCHITEM RAL REVIEW BOARD RESPONSE: Date received:
Date Reviewed: R14, 1l�. _ Decision: Approved: t/ Disapproved:
Comments:
Date wtumed to Applicant and Village President 19 ,
Revised h5-IS