12-27-07

Request for Plan Review and/or Variance

University Hill Farms Association, Inc., Madison, Wisconsin

Hill Farms Architectural Review Committee (UHFA-ARC)

From: UHFA-ARC / Plan Review Task Force, Russ Kowalski, 233-4330

To: University Hill Farms Homeowners Requesting a Plan Review and/or a Variance from applicable Deed Restrictions of the University Hill Farms Association, Inc.

Note: Please review your application with Russ Kowalski (233-4330) or Les McChesney (233-6790) to assure your application and plans are complete.

Requirements for the Request of a Plan Review and/or the request for Variance:

1. Your Name: ___________________________________________ Date: _________________

2. Your Address: __________________________________________________________________

Telephone: _________________________________________________________________

Hill Farms Addition where located: _________________________________________________

3. Brief Description of the Proposed Project and/or the Request for Variance:

______________________________________________________________________________

4. What effect will this project have on the adjacent lots? How will you minimize stormwater runoff to adjoining lots or the street (such as: redirecting downspouts or rain gardens)?

_____________________________________________________________________________

5. What condition unique to this lot, if any, necessitates approval and/or variance?

_____________________________________________________________________________

____________________________________________________________________________

6. Have you done anything to minimize the impact of this project on adjacent properties?

____________________________________________________________________________

7. Have you reviewed your Deed Restrictions: Yes: ( ) No: ( )

Note: You must include a copy of the Site Plan, indicating lot lines and all setback requirements, Drawings and Specifications of the proposed addition or alteration and a check for $50.00 payable to the University Hill Farms Association, Inc. This check is non-refundable.