Villages at Westgate Homeowner’s Association Architectural Control Modification Approval Form Name ______Date ______Address ______Home Phone ______Cell Phone ______Modification Requested (Some modifications may or may not be applicable to your community)  Fences  Landscaping (Specify materials, style, & sketch on plat) (Plans, sketch, & specifications)  Pools & Spas  Recreational Equipment (Plans & specifications) (Kind, location, sketch, & specifications)  Repainting  Roof (Paint manufacturer & color) (Manufacturer, type, color, & specifications) Screening  Structure Addition (Specify material, style, & color) (Plans & specifications)  Structure Modification  Tree Removal (Plans & specifications) (Sketch & specifications)  Waterfront Land  Other (Type change & sketch) (Appropriate description and corresponding details) *Please be sure to include as much information as possible when submitting your ACC Form. The more information you include, the easier and faster the submission process will be **It is your responsibility as the homeowner to obtain any and all county and/or state building permits that may be required for your modification.

Additional Modification Description (Also, please attach any additional information necessary): ______Expected State Date______Expected Completion Date______Return completed form and all corresponding paperwork to: Villages at Westgate Homeowner’s Association C/O L.S. Management & Associates, Inc. 41 Macon Street McDonough, GA 30253 Telephone: (678) 272-2038 Fax: (678) 272-2039 To Be Completed By Management: Date Received: ______ Via Email  Via Mail Via Fax Date Reviewed:______Date Responded:______Reviewer:______ Approved  Disapproved* Conditional Approval* *(Requires explanation) Explanation for decision (if required): ______

Retain copy of approval form, letter, and attachments for your files Villages at Westgate Homeowner’s Association Architectural Control Modification Approval Form ______

Retain copy of approval form, letter, and attachments for your files