Park Place Neighborhood Association - ACC	ACC Use Only
Property Modification Approval Request Form	Rq. No.
	Phase

As each of us bought our property in Park Place, we agreed by our signatures to abide by the Declaration of Covenants, Conditions and Restrictions (a.k.a. CCRs or Deed Restrictions). The Deed Restrictions protect our property values by keeping Park Place a highly desirable place to live. ACC (Architectural Control Committee) approval must be obtained prior to the start of your project. To avoid delay, make your request as complete as possible and type or print legibly. Incomplete requests will be returned for additional information. Incorrect information or changes made after approval invalidates approval. The ACC tries to assure that all changes to our properties conform to the appropriate Deed Restrictions. Thank you for your understanding and cooperation.

1. ABOUT THE RESIDENT(S)

Name(s)
Address
E-Mail
Phone(s)	Best time to call

2. ABOUT THE PROJECT

Proposed start date	Proposed completion date
Describe the nature of the project (attach pages as necessary)
Location (attach sketch/drawing)
Dimensions	Distance from fences and easements
Colors	Shape
Materials
Builder
Other (specify)

IMPORTANT: Include plan view and elevation drawings (to scale) plus any other supporting documents indicating project's

location and its relationship to property lines, neighbors, construction, easements, etc.

1. ABOUT THE REQUIREMENTS

YES	NO	N/A
q	q		I/We have read the appropriate Deed Restrictions
q	q	q	I/We have obtained a City of Fort Worth building permit (attach copy)
q	q		This project will require PID fence removal (if yes, inform PMG)
q	q		Completed project will be visible from the street
Check any that apply:			q Corner lot
			q Iron park fencing	q Project already started/completed

Homeowner's Signature

Date

Signature constitutes permission for ACC members to inspect property and agreement to abide by ACC's decision.

Mail this request, along with all supporting documents, drawings, photographs, etc. to: Park Place Neighborhood Association c/o Premier Communities Management Attention: Carla Felipe 5751 Kroger Drive, Suite 193 Keller, TX 76248-5532

For additional information or guidance, contact : Carla Felipe Association Manager 817-380-7003 carla.felipe@premiercommunities.net or acc@myppna.com Other ACC Form R (rev 08/02) Supercedes all other forms