DESIGN REVIEW COMMITTEE APPLICATION FOR MODIFICATION
Please fill out this form online and print it.
Applicant's First Name
Last Name
Street Address
City
State
Zip Code
Phone (Day) ( ) -
Phone (Evening) ( ) -
Cluster
Lot #
 
Nature of request
Please provide a brief description of project planned. (Where applicable include dimensions, materials, and/or color.)
Estimated Commencement Date
Date Ready for Inspection
Supporting documents*
Scale drawing Site plan**
Photographs Sketches
Product brochure Plans and specifications
Other  
* Please refer to the specific section in the Design Guidelines that states which supporting documents are required.
** Some site plans are available at the TLCA Office.
To be completed by TLCA
Date Application Received   
Application to DRMC          

Modification
Violation

Cluster Committee Comments (If Applicable):

Disposition of Case:

Approved
Approved As Amended
Rejected

Comments:

Signature:

Decision Communicated to Applicant:
Date:

Tipton Lakes Company, Inc.
301 Washington Street
Columbus, Indiana 47201
(812) 378-3353
Fax (812) 376-9096
Tipton Lakes Community Association
6000 Tipton Lakes Boulevard
Columbus, Indiana 47201
(812) 342-8522
Send Email: tlca6000@sbcglobal.net 



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