You may use this sample of a neighbor consent form for specific ACC requests such as but not limited to basketball goals, play equipment, etc.
Date: ____________________________ I have been presented with the opportunity to review the proposed
installation of : (check item that applies)_____ Playground equipment or play structure. _____ Basketball goal. _____ Other (please describe in detail)
This work is to be done at (list name and address of applicant):__________________________________________________
__________________________________________________ __________________________________________________
_____ Approve _____ Disapprove
Signature: ___________________________________Address: ____________________________________
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