ARCHITECTURAL IMPROVEMENT REQUEST FORM
Send to: Architectural Review Committee
c/o Gates, Hudson &
3020 Hamaker Court, Suite 301
Fairfax, Virginia 22031
Name Of Applicant:___________________________________________
City: _____________________ State: ___________ Zip: ____________
Lot: _____________ Telephone (h) _________________ (w) ___________________
Control Committee (ARC) meets to review all requests as they are submitted. However, architectural requests including
appeals will be discussed at the HOA bi-monthly meeting following receipt and review of the architectural request. All
applications must be received at GHA the Friday prior to the meeting.
Applicant must submit the following information
with the application:
1. Site plan showing size, shape and location of improvement to residence and to adjoining
properties (including specific dimension of improvement and distances to adjoining properties.
2. Manufacture's brochure,
3. Color samples, if applicable.
4. Architectural plans/drawings (for major additions/improvements).
5. Grading plan, if applicable.
6. Detailed written description of improvement. If not provided, application will be returned pending additional information.
Applicant hereby warrants that Applicant shall assume full responsibility for:
(i) All landscaping, grading
and/or drainage issues relating to the improvements
(including replacing bonds or escrows posted by Developer currently
in place affecting the lot);
(ii) Obtaining all required County approvals relating to said improvements;
with all applicable County ordinances;
(iv) Any damage to adjoining property (including common area) or injury to third
persons associated with the improvement.
(v) Applicant hereby states that they have read the Covenants and ARC guidelines
and agree that all work performed will be in compliance with both the Covenants and ARC guidelines.
Applicant: You must obtain the signature of each of the impacted lot owners concerning your application.
Impacted Lot Owners: Signing the application does not indicate approval or
disapproval of the proposed alteration. Your signature indicates that you have been notified by the applicant of a proposed
alteration only. To file an objection for the proposal, you must follow the procedures outlined in paragraph 2 of the Application
and Review Procedures Section and paragraph 1 of the Enforcement Procedures Section of the Design Guidelines and submit it
to the ARC, c/o GHA within 10 days of signing. For details, see http://fairlakesforest.tripod.com
I agree to notify GHA after my approved modification is completed so that the Architectural Committee may inspect
the completed project.
Signature of Applicant ____________________________
Architectural Review Committee Determination & Response
Date Application Received: ___________________
______ Request approved as submitted.
Request approved subject to: __________________________________________
Response suspended pending submission of: _____________________________
Request disapproved because: _________________________________________
Signature ARC Chair ______________________________