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201309222
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Last modified
8/19/2014 2:24:43 PM
Creation date
11/22/2013 8:53:25 AM
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DEEDS
Inst Number
201309222
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Please mail to: <br />The Residences at Copper Creek <br />Design Review Committee <br />2502 N. Webb Road <br />Grand Island, NE 68803 <br />Phone: (308) 381 -2497 / Fax (308) 381 -1285 <br />201309222 <br />EXHIBIT C <br />ARCHITECTURAL SUBMITTAL FORM <br />THE RESIDENCES AT COPPER CREEK DESIGN REVIEW COMMITTEE <br />ARCHITECTURAL AND LANDSCAPE IMPROVEMENT <br />SUBMITTAL FORM <br />Name: <br />The Residences at Copper Creek Address: Lot # <br />Phone Day: Phone Evening/Other: <br />Current Residence Address: <br />Submitting For: <br />Contractor Name & Phone # (if applicable): <br />Type of Materials (attach samples /pictures/brochures): <br />Color(s) to be used (attach samples /pictures/brochures): <br />Owner Signature Date: <br />Page 65 of 68 <br />
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