APPLICATION FOR CONSTRUCTION

NAME: ______________________________________________ DATE: __________________________

PHONE #: ______________________________________________ COTTAGE #: ____________________

TYPE OF CONSTRUCTION: □ Exterior Construction □ Shed

□ Porch □ Patio

□ Deck □ Satellite Dish

□ Other: ______________________________________________________________

DESCRIPTION OF PLANNED CONSTRUCTION: _______________________________________________________

__________________________________________________________________________________________________

Use space below for a drawing or attach a drawing, if required.

Do not write below this line

Approved: X___________________________________________________ Date: ___________________________

Clean-Up Deposit: □ Required □ Waived