ACC PROJECT APPROVAL REQUEST FORM

(This can also be submitted online at www.georgiacminc.com)

MAIL TO: Georgia Community Management, P.O. Box 2750, Loganville, GA 30052 Or FAX TO: (678) 475-7715

HOA Name: _______________________________________________________________________________________

Owner Name:___________________________________________________ Date: ______________________________
Street Address: _____________________________________________ City: ____________________ Zip: __________
Telephone Number(s) (Day): ___________________________________ (Evening): _____________________________
Email: ______________________________________________ Fax: ________________________________

Proposed Start Date: _______________________________ Proposed Finish Date: ___________________________

Project Type: (Please check all applicable categories)

Landscape ____ Arbor ____ Swimming Pool ____
Tree Removal ____ Play Equipment ____ Gazebo ____
Retaining Wall ____ Room Addition ____ Recreational Equipment ____
Deck ____ Porch/Patio ____ Paint House ____
* Fence ____ Enclosure of Porch/Patio ____
Other (please describe) _______________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________

* If this is a fence request, please answer the following:

How tall will the fence be? _________________________ Material Type? ____________________________________
What will the finish be? ______________________ (stain color, natural, unfinished etc.)
Will the fence begin and end on the back corners of your home? Yes No
If no, please explain: ________________________________________________________________________________

Please attached a detailed written description of the proposed modification and attach supporting materials such as
drawings, plans, paint samples, or brochures with photographs.

Homeowners are responsible for any building permits that may be required, building code compliance, survey of property
lines, and arranging for required inspections and approvals.

The homeowner herby grants permission to the ACC Committee to enter the property and make reasonable observation
and inspections associated with the modification request and completion of the project.

Homeowner Signature: _____________________________________________________________________________

ACC Committee Use 
Date Received by GCM: __________________________  Date Scanned to ACC:__ ______________________  
 Request Approved       Request Denied                                   Notification Via:  US MAIL       EMAIL      FAX  
Comments: _______________________________________________________________________________