ARB Request Form

To: Belvedere Neighborhood Association Architectural Review Board

* Name
Address
Telephone
* Email
Proposed Dates of Construction:	begin:
complete:
Description of Improvements: Please include materials, dimensions, colors, etc. Plans should be mailed to: Stonehaus, Inc. 2421 Ivy Road, Charlottesville, VA 22903 ATTN: LJ Lopez

Additional Requirements:
In addition to receiving approval from the Association's Architectural Review Committee, the applicant is also required to comply with all state and county codes relative to the proposed additions/improvements and to obtain, when required by law, the appropriate governmental approvals and building permits. Approval of applicant's request by the Association's Architectural Review Committee does not relieve applicant from this responsibility.