9.

Explain the effect the alteration may have on neighbors' to either side of your home:

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10.

Signatures of nearest neighbor to the right and left of your home to signify they have no objections to this proposed alteration:

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11.

Expected Start Date:

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Expected Completion Date:

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12.

Attach a drawing showing all existing elements, including shrubs, porches and proposed alterations. Include the neighboring homes and yard in the drawing, showing the distance from nearest existing elements to proposed additions or alterations. Also attach specifications and a copy of the construction proposal.

Additional Notes:

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Signature of Owner requesting approval

Date