Application

for

all Construction Plans Review

Blue Valley Acres, Unit #2, Architecture and Rules Committee (ARC)

Please be advised that all requirements of said procedures and all applicable fees and deposits must accompany this application or the plan review will not take place.

PLEASE PRINT:

Name of Owner/Builder ______Date______

Mailing Address ______

City______State______Zip______

Phone ______E-mail ______

Plan for: Lot ______Block ______

Initial each item below:

______I have received, read, and understand the Declaration of Restrictive and Protective Covenants.

______Submitted a plot plan prepared by a Colorado licensed land surveyor or civil engineer showing the topography (existing & proposed contour lines) of the property shown to scale, set back dimensions of all buildings, building layout(s) and easements of record .

______A non-refundable plan review and application fee in the amount of $75.00 for new single family dwelling construction or for subsequent or construction is included.

______An applicable construction deposit of $.50 per square foot will be returned ONLY if construction is adherent to the approved plans with required conditions, exterior construction complete, and the lot is completed and presented in a respectable manner in compliance with the Restrictive and Protective Covenants, by the ARC

Deposit Calculation ______sq.ft. x $.50 = ______Total

Said deposit is included ______

Estimated Construction Commencement Date ______

Estimated Construction Completion Date ______

I certify that I have read, understand and agree with all the items as listed above.

Print name of applicant ______

Signature of applicant ______

Date of Execution ______

Make all fees and deposits payable to ARC

Note: Non-compliance with any provisions of the plan review procedures, omitted fees and deposits will delay your plan approval.

BELOW FOR ARC ONLY

______$75.00Non-Refundable Construction and Plan Review Fee included.

______Construction completion refundable deposit of ______x $.50 =______

Sq. ft.

______is included ______.

______Total of all fees and deposits.

Date of ARC Approval ______

Approved by the following committee members:

______

Print NameSignature

______

Print NameSignature

______

Print NameSignature

______

Print NameSignature

______

Print NameSignature

Original: Committee File

Copy: Applicant

Copy: BVMD

Copy: GrandCountyBuilding and Zoning

1

2011 application