Somerset Lake Service Corporation
Architectural Change Request Form

Please read all instructions carefully!


Property Owner Information


What is your FIRST name?
What is your LAST name?
What is your DAYTIME TELEPHONE number?
What is your EVENING TELEPHONE number?
What is your Street Address?
Please describe the current color scheme on your house. What are the colors of your house, shutters, moulding, doors, etc now?

Property Change Information


What is the expected DATE TO BEGIN the work?
What is the expected DATE OF COMPLETION for the work?
What is the PROPOSED CHANGE to your property? Include information on the following as applicable: plans and specifications indicating the nature, color, kind, shape, height, materials and location of the architectural change. If you are proposing structural changes, i.e. additions, decks, fencing, then you must submit a detailed, scaled plan with this request. Also include the current colors of your home.

For Office Use Only


Date received by the committee: _______
Committee Action: Approved / Denied
Necessary revisions or comments:






Approval signatures:

___________________________________ Date:_______

___________________________________ Date:_______

___________________________________ Date:_______