Form for Energy Efficient Measures and Devices

Please complete an Architectural Control Committee (ACC) Form Prior to completing this Supplemental Application for ACC Approval for Energy Efficiency Measures and/or Renewable Energy Generation Devices. The ACC form must be attached to this form prior to submitting.

Pursuant to the Declaration and in addition to the original application for approval (referred to as "Original Application") I/we hereby submit the following supplemental application to use an energy efficiency measure and/or install a renewable energy generation device:

Name(s) of Owner: (required)

Property Address: (required)

Mailing Address:

Your Email (required)

Phone Number (h):

Phone Number (w):

Please click on the type of device(s) you wish to install:
Solar energy deviceWind-electric generatorAwningTrellisShutterRamadaShade structure marketed for reduction of energy useGarage or attic fan (and associated vents and louvers)Evaporative coolerEnergy efficient outdoor lighting deviceRetractable clotheslineOther

Location of installation:

Dimensions of proposed device:

Please attach the following as appropriate:

For other shade structure only: marketing information indicating such structure reduces energy use.

For wind electric generators only: information as expected noise levels when operating.

Photograph or realistic color drawing of device and its placement on the residence.

Completed Original Application

Note File Types can be:
jpg, jpeg, png, gif, pdf, doc, docx, ppt, pptx, odt, avi, ogg, m4a, mov, mp3, mp4, mpg, wav, and wmv only.

I understand this supplemental application is in addition to and supplements the Original Application. I further understand that any and all representations made in the Original Application are in addition to and incorporated into any and all representations made in this supplemental application.