COURTESY NOTICE
FOR
HOMEOWNER ASSOCIATIONS

The purpose of this notice is to provide information regarding pending development or construction applications to homeowner associates in Medford Township. The improvements include accessory structures like sheds and fences. The Township encourages all applicants to work with their respective Associations to implement the various rules/by laws, deed restrictions or restrictive covenants that govern the area.

This form is to be filled out by the applicant as part of a complete application. The
Construction or Planning/Zoning Offices will forward a copy of the Notice to the
appropriate Association.

Property Identification:
Applicant:_________________________________________________________
Owner, if not same as applicant________________________________________
Address and phone number of Applicant_________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Address of Work Site________________________________________________
_________________________________________________________________
Block and Lot number_______________________________________________

This property is subject to the rules/restrictions of the following Association(s)

Describe the Proposed Development/improvement:

Has the proposed improvement been reviewed with the Association?_________________

Does the improvement involve the removal of trees? A.>2"_____B.<4"______________

If a lake-front lot is involved, how close is the improvement to the lake?________feet.

Does the improvement involve an existing buffer or any type?_____________________

Applicant Signature and Printed Name