My (Our) documents package which I (we) understand will be reviewed and retained by the Association if approved is identified as follows:

Documents Dated:_______________________________________

Prepared by:___________________________________________

Survey by:_____________________________________________

Total number of sheets in package:_________

Title Block on drawings: ___________________________________________________

___________________________________________________

I (We) plan to begin construction on or about _______________________(date) and complete construction before_________________________(date).

The documents package submitted is complete and contains all of the following required information PER SECT. III paragraph B. (1) a through e:

House plans which shall include all floor plans, all elevations and all roof plans

A survey made by a local surveyor which shows all existing roads, utilities and other improvement, property lines with dimensions and bearings, base building lines, existing contours at 5ft intervals above sea level, and all other site features such as drainage structures, etc. Also including: North arrow, title with name of legal owners, and name, address, phone and license number of surveyor

A site plan which indicates plot elevations as well as the layout of all proposed buildings, outbuildings, driveways, swimming pools, decks, septic tanks, drain fields, wells, fence, etc.

A site profile

A schedule of construction including the estimated start date and completion date

Continued page 2 of 2………………….

I (We) recognize that the RESTRICTIVE COVENANTS provide explicit building height limitations which must be observed in developing the design. The attached house design is in conformance with SECT. III paragraph 7C height definitions. My (Our) plan is based on the following elevations in feet above sea level:

My (Our) lot's "highest natural elevation" is _________________________.

The elevation of the first floor level is ______________________________.

If applicable, elevation of the second floor level is ____________________.

Elevation above sea level of the highest point of the roof ______________.

I (We) understand that deviations from or additions to the designs and scope presented in the documents are not permitted without explicit written approval from the Association.

I (We) further understand that the Association cannot issue a construction permit until after:

Finally, I (we) also hereby certify I (we) fully understand all the provisions of the RESTRICTIVE COVENANTS as contained in SECTION III including the permit validity period limitations.

______________________________ ____________________________

signature of owner name printed

______________________________ ____________________________

signature of co-owner name printed

Receipt acknowledged for the Association on __________________(date) by:

_____________________________ ________________________

signature name printed

_____________________________