12309 SW KING GEORGE DRIVE )230L; SW Ming George
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KING CITY STRUCTURAL CHANGE aAUTST
Member X/49 �'LL�.'Z., D,.^te l ll
Addressark� Phone
TYPE OF CHA,40
(Patio Cover, oom, Fence, etc.)
PLAN: DIhENSIONAL jWD MATERIAL D;:TAILS
1 ....._... G ax
Note
1) Adjacent prr�perty owners will be informed of the requested change.
2) If there is an objection, the objection, but not the name of the objector, will
be given to 'she member asking for the change.
3) The Board of Directors of the Civic Association will review the plans and property
for approval or disapproval and compl-ance with the seated restrictions.
ll) A building p6rmit must be obtained from the citi for all improvement;i .,osting aver
' 00.00.
Date Notified ? KCCA Board of Directors
^residen.-
Date to be Ccmpl.eted Anproved Vlee-Weafdent
"lnal Inspection 'I Disallowed (Reasons)
�4
K^CA INFaRMATION ONLY
Adjac+nt Property Name Address opinion