APPLICATION FOR EXTERIOR MODIFICATION

Please mail or deliver to:          Newberry Station Homeowners Association

c/o Cardinal Management Group

4330 Prince William Parkway, Suite 201
Woodbridge, Virginia 22192

Please type or print, and read the request guidelines before signing  and submitting this application.

APPLICANT'S NAME:                                                                                                            

ADDRESS OF PROPOSED CHANGE:                                                                                      

MAILING ADDRESS (if different):  ____________________________________________________

ACCOUNT #                                

GENERAL DESCRIPTION OF PROPOSED CHANGE:

Provide a description of the proposed change, including the purpose or reason for the change, the type and color of materials to be used, location on the property, and any other pertinent information required to evaluate the proposed change.

As a courtesy, obtain signatures of all property owners who will be most affected by the change.  Please note this is not a condition of approval by the Review Board.

Signature(s):                                                           Signature(s):

Owner, Left Side                                                                    Applicant

Owner, Right Side                                                                  Applicant

Owner, Front                                                                          Home Phone

Owner, Back                                                                          Work Phone

ESTIMATED STARTING DATE:

(After Approval)

COMPLETION DATE:

Submit application to Cardinal Management Group, Inc., 4330 Prince William Parkway, Suite 201 Woodbridge, Virginia 22192 -OR- fax it to 703-866-3156.  Questions? Call Marya Unrath, Cardinal Management Group, 703-569-5797.