Somerset Lake Service Corporation
P.O. Box 7368, Wilmington, DE 19803
Phone (302) 475-7660 Fax (302) 475-7664

ARCHITECTURAL CHANGE REQUEST

TO THE APPLICANT: This form, with supporting illustrations/drawings, must be sent to the SLSC and you must receive approval before any work is done on your lot.Your request will be reviewed within 30 days of receipt by the SLSC. All illustrations and drawings will be retained by the SLSC unless otherwise indicated by you. Approval of your request by the SLSC does not fulfill other obligations which might be required by Township, County, State or National codes and/or laws. Furthermore, approval of your request does not imply satisfactory compliance with safety, mechanical, chemical, electrical, or plumbing codes or regulations.

PLEASE COMPLETE THE FOLLOWING:

Name: ______________________________

Address: _____________________________

Phone: ______________________________

Date: ______________________________

Proposed Change: Include information as applicable: plans and specifications with illustrations showing the nature, kind, shape, color, height, materials and proposed location of the architectural change. If you are proposing structural changes, such as additions, decks or fencing, you must submit a detailed to scale plan with this request. If more space is need, please attach this information.

• Approved
• Denied

Approval Signatures:

______________________________ Date: ______________________________

______________________________ Date: ______________________________