Cachet @ Grayhawk HOMEOWNERS ASSOCIATION

Request for Architectural Approval

NAME LOT

ADDRESS PHONE NO.

Provide a description of the request in detail and use additional pages and drawings as necessary. Please include type of materials to be used, color(s), dimensions of structure and location on lot, if applicable.

Work to be performed by:

Submit to: Cachet @ Grayhawk Village HOA

c/o Rossmar & Graham

Community Association Management

9362 E. Raintree Drive

Scottsdale, AZ 85260

Telephone: (480) 551-4300 Fax: (480) 551-4375

The Homeowner agrees to maintain the improvement if approved by the Board of Directors or their duly appointed representative. If, in the view of the Board of Directors, the improvement is not being maintained, the Association has the right to remove or maintain the improvement with the Homeowner bearing all costs. The Homeowner agrees to comply with all city, county and state laws and to obtain all necessary permits.

Signature of Homeowner Date

The above described architectural change is:

Approved Disapproved Approved subject to the following conditions: