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Exhibit A <br />1 - <br />11 TOTTA <br />li./U 1 11 ,:TOWNSHIP HOMEOWNERS ASSOCIATION <br />Property Improvement Form <br />Today's Date: |lzs//.3 property address: 3033 -i)2 \IN\[18 -3-\Gif A <br />Owner/Applicant's Name: 30*ji DA o ji.e en <br />Mailing Address (if different than property address): OATUE <br />Daytime Phone: 1{4 146 84-It Evening Phone: <br />Type ofwork (Please check appropriate items): Painting - must submit color chips <br />Architectural Landscape Equipment <br />El Deck 1 Landscape/Hardscape (circle one)U Play Equipment <br />El Gazebo D Removal of Exist O New Install El Pool & Equipment <br />E] Room Addition El Front O Rear m Side U Spa & Equipment <br />U Patio Cover(s)5 Irrigation / Drains (circle one) £Water Feature <br />O Chimney El Fence(s) / Walks) / Gate(s) (circle one)El Barbeque/Counter <br />El Painting El Front £ Side 3 Fire pit <br />(submit paint color chips) <br />El Garage Door El Rear m Retaining E Lighting <br />I outdoor Fireplace ¤Extension U Satellite Dish <br />£ Other: ¥other: 561(12- 695ilpm,alt <br />Attach the completed Neighbor Awareness Form and three (3) sets of plans and specifications, <br />including elevations and cross-sections as needed to describe the project. <br />NO FEE - Applications are reviewed by Architectural Committee/Board Members <br />*Deposits left unclaimed for a period of more than five (5) years will be forfeited by depositing homeowner. <br />Include the submittal date and the property address on each sheep Please fold to 8!4 x 11 inches. <br />Owner's Signature <br />OWNER'S SIGNATURE ABOVE SR ES ACCEPTANCE AND UNDERSTANDING <br />OF THE GUIDELINES, CC&R'S EACH EXHIBIT ATTACHED HERETO.D <br />l.'J <br />Bkg/VED ARCH <br />NOV 2 0 RE['D <br />PROPERTY IMPROVEMENT FORM PAGE 1 OF 3 4*l€TONE PACIFICA*