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Application for Model Home Permit
1. Applicant must be legal owner.
2. This application must be submitted along with the nonrefundable two hundred fifty dollar ($250 permit fee.
3. If granted, this permit is good for a maximum period of one (1) year only; extensions may be requested, in writing, and be submitted with fee, thirty (30) days prior to the expiration of this permit.
Date
*
Owner
*
Mailing Address
*
City/State/Zip
*
Tract/Lot
*
Owner Phone #
*
Street Address
*
I certify that I read and understand all of the rules regarding model home policies in Silver Lakes. I further understand that violating any of the rules will immediately void this model home permit and return it to its original residential status.
Owner Signature
*
Date
*
___________________________________________________________________________________________________________
For ECC Use Only
Date Received
Approved
Rejected
Expiration Date
ECC Member (Signature)
ECC Member (Signature)
Compliance Officer (Signature)
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