IMPROVEMENT TO PROPERTY

Lot Number ________                Owner’s Name _________________________________________

Name of company / person doing improvement _______________________________________

Type of improvement _____________________________________________________________

_______________________________________________________________________________

Location of improvement on lot ____________________________________________________

Change of improvement from original _______________________________________________

_______________________________________________________________________________

Does the improvement conform to the harmony of exterior design and neighboring sites? ___

Date plans and specifications submitted _____________________________________________

The undersigned agree to comply with all restrictions and covenants and be liable for any damage to Glenlakes and Lake View Estates property and other parties’ properties.  The undersigned agree to complete the improvements according to the plans submitted and signed. Any exceptions to the plan or above information must be submitted to the Lake View Estates ARC.

__________________________________               ______________________________________

               Signature of Owner                                                               Signature of Builder

Date: _____________________________                Date: _________________________________

   * Two copies required, one for ARC files and second copy to be returned to owner with formal approval. (if you have any problems printing call Jerry DuBose- 987-5722)