501 Zion Road #8, Egg Harbor Township, NJ 08234

Phone: 609-926-8060 ♦ Fax: 609-653-0645

VICTORIA CROSSING COMMUNITY ASSOCIATION

ARCHITECTURAL MODIFICATION REQUEST APPLICATION

Owner Name: ________________________________________________________________

Property Address: _____________________________________________________________

Home Phone: _________________________ Work Phone: ___________________________

Requested modification: (Explain exactly what is to be done and how it will effect the exterior of the building, size, color, construction, material, etc.)

Attach copy of plans, drawings or pictures, if appropriate.

NOTE: COPY OF YOUR SURVEY (PLOT PLAN) MUST BE ATTACHED WITH THE REQUEST, OTHERWISE PACKAGE WILL BE CONSIDERED TO BE INCOMPLETE.

Contractor Name:_____________________________ License #: ______________________________

Address: ___________________________________ Phone #: _______________________________

Owner Signature:_____________________________ Date of Request: ________________________

(For Association Use Only)

REQUEST REVIEWED BY BOARD OF TRUSTEES ON THIS DATE: ___________________________

□ APPROVED □ REJECTED

AUTHORIZED SIGNATURE:_________________________________ Date: ______________________

Distribution: Original Application to Property Management Company

Copy to Architectural Review Committee