Upon approval of my request for this modification, I/We will assume liability for any damage incurred as a result of this modification as well as any additional maintenance costs that may be incurred. I also agree to obtain any permits that may be required by any and all governmental agencies for this modification.
Attached, please find the following additional information:
- A Sketch including the dimensions, of the proposed modification
- The location of the modification on my property
- Copy of the survey of my property
- Color samples, if applicable.
Use additional sheets if necessary.