Page 4 - PE Feb Exec

Please provide a brief description on the work to be completed:

Addition of a gate in back fence for access to Houghton Road/multi-use path. The gate will b"
and in the same stvle as the standard fence in the development with the exception of usin.q co
be installed at the natural break in the fence.

If this is an application to paint your home, please provide the colors below:

Body Color Name: Body Color Number:

Trim Color Name: Trim Color Number:

Trim 2 Color Name: Trim 2 Color Number:

Store paint will be purchased from:

A4X4 swatch of the body color needs to be painted beside the garage door and a 2X4 swatch needs to
be painted for the trim color. Paint swatches are required to be painted on home prior to the
submittal of the application.

Paint swatches painted? yes tr No tr

Are you doing the work yourself? yes I No tr

Electronic Signature Here: