HomeMy WebLinkAboutVARIANCE REQUEST - VAR Application - 8/29/2003 09/03/2003 WED 5;27 FAX 253 964 6713 Pierce College Library 002i002
08/2212003 FRI 9,13 FIK M 964 6713 Pierce College Library �002/003
COLONY SURF CLUB
ARCHITECTURAL REQUEST FORM
Request Date: t wog-Q g Request Expires.-
Property Location; Div. ` Oft Use Only
Block � // Lot{a)_../C�� ...
Member Dame: LZQr.1 In C.51 .._ d r lid rck p4ae kr n-,
Club ddreSs; �. ,?To � _�i R _�; ��r 90.n LJ x 9$S5
case
Phone: e-mail: _� k`f�j �� rn•i 1,C ?
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Requesting, (Mark one only per request)
VegetationlTnee Removal
Site Plan for Home/Cabin (include a plot plan"YAng all utli les).
Mobile/Nunufactured Home Slte Preparaticrt(s:am0 at 2bove)."
Mobile/Anufaotured Hone Move-la"
Other(piaase Specify) ..GL1^� A�+^w Jo-,-,c re a
'S a gp-.. Q, M,&LO..
-Use the back of this page to sketch your plot On.
NOTE: Contractors you hire for service are OUR RMR0N iAtL1'I Y. Please
Inform them of Ls Club rules,Bylaws, and policies. REMEMBER-
if fines are levied,the mem er will have to pay.
Architectural Approval: pate1-7-2!F-0-3
Approval:
* 5,�Je- AIL77-4
Dlsapprovad: _ - Dale
Disaporoved: — _ __--__ Date_
'There must be two(2)separate Archltectural Request Forms completed and approved
For MobilerManufactumd Homes one clearing and irnetallabori, NO
MOBILE/MANUFACTURED HOME 10 YEARS OLD FROM THE MATE OF
MANUFACTURE WILL BE ALLOWED,
A#4)A 0 LO,Mw/ 71& 577,0144A"01jo 7?-/4: n AIC 7- loze 1.t6 per/Yore
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/JOT Ss>= /9'44UW4, oI/ $7�[et7- 1NGGudG.S r�c1
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