UNIT OWNER VARIANCE REQUEST

Please mail or deliver your request to:

 Board of Directors, 2733 South Walter Reed Drive, Arlington, VA 22206.

 You may also FAX your request to (703) 820-9763

I.          Owner Information:

            Owner Name: ___________________________________________________________________

            Owner Address:  _________________________________________________________________

            Unit Address:  ___________________________________________________________________

            Home Phone #:  __________________ Work or Cell #:  __________________________________

            Email Address:  __________________________________________________________________

II.          Description of Variance Requested:

Instructions:

            1)         Prepare a written description of the proposed improvement or change in sufficient detail so

                        the Board of Directors can make an informed decision regarding this request. Please give full                  details, attach all pertinent documents concerning this upgrade (brochures, architectural                          drawings, structural engineer report, if necessary), county permits (if necessary).

            _______________________________________________________________________________

            _______________________________________________________________________________

            _______________________________________________________________________________

            _______________________________________________________________________________

            _______________________________________________________________________________

            2)         All proposed improvements must meet local building and zoning codes. Your signature                            indicates that these standards are met to the best of your knowledge. Application for a local                     building permit and the location of utilities (if necessary) are unit owner responsibility.

III.         Notes:

            1)         Alterations to land or buildings made in accordance with these guidelines and procedures                        shall not violate any of the Condominium instruments (Declaration, Bylaws or Policy                                 Resolutions) or any of the provisions or building and zoning codes of the County of Arlington,                   to which the above condominium is subject. Further, nothing herein contained shall be                                  construed as a waiver or modification of any restriction.

            2)         The Building Ordinance of the Arlington County Building Department requires that you file                         plans with the Building Inspector at Court House Plaza, 2100 Clarendon Boulevard, Suite                         804, Arlington, VA 22201. If you have questions regarding county building and zoning codes                  or filing procedures, contact the Office of the Building Inspector at (703) 228-3800.

            3)         The undersigned has read and understands the applicable provisions of the Condominium                       instruments, the Bylaws # _________________or Policy Resolution # ___________, and the                   provisions of this application meets the Association requirements.

            4)         The undersigned understands and agrees that no work on this request shall commence until                   written approval of the Board of Directors has been received.

            5)         This application usually takes no more than 45 days to complete the review. A copy of this                       application will be returned to you after review by the Board of Directors.   

            6)         The Association assumes no responsibility for any damage to person or property resulting                       from, or related to any change to the unit or common elements whether or not such change                     has been approved by the Board of Directors. The Association cannot control quality of                                   workmanship relative to this change, errors or omissions of pertinent information on this                           application.

Unit Owner's Signature(s):  _______________________________________Date ____________________

Unit Owner's Signature(s):  _______________________________________Date ____________________

*********************************FOR OFFICE USE ONLY******************************

IV.        Board of Directors Action:

            1)         Date Variance Request reviewed by the Board of Directors:____ ______________________

            2)         Action taken by the Board of Directors:

                        O   Not approved by the Board of Directors and may not be undertaken.

                        O   Approved by the Board of Directors subject to the following conditions:

                                    a) In accepting and exercising this variance, the owner of Unit # __________ and all                                  future owners will be responsible for all care and maintenance incurred by this                                          variance.

                                    b) The owner of Unit # __________ will not remove or relocate any physical items                                     which are part of this variance.

                                    c)  Other: ____________________________________________________________

                                    ____________________________________________________________________

                                    ____________________________________________________________________

                                    ____________________________________________________________________

            3)         Approved by: _____________________________________ Date _____________________