Dugualla Community, Incorporated
P.O. Box 1368
Oak Harbor, WA 98277-1368
Date: ________________
From: ___________________________________________________
To: Dugualla Community, Incorporated Architectural Control Committee
Subj: SUBMISSION OF PLANS, SPECIFICATIONS AND PLOT PLAN FOR LOT # _____,
DIVISION ____, DUGUALLA BAY HEIGHTS
1. Enclosed please find the plans, specifications, and plot plan for the (home, garage, other structure) I (we) intend to construct on the above lot. I (we) understand you will review these plans and return the plans and this form to us within 30 days of receipt of this written request indicating what action you have taken.
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(Signature)
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(Signature)
Received by: ______________________ Date: _______________
Board Notified that Plans were Received: Date: _______________
Plans Returned Approved/Disapproved
Reason for Disapproval: __________________________________________________________
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______________________________________________________________________________
______________________________________________________________________________
__________________________________________ Date: _______________
(Signature)
__________________________________________ Date: _______________
(Signature)
Board Notified of Action Taken: Date: _______________