Mayfair of McLean Association Design Review Board Application

1. Owner’s Name: 

2. Address of Proposed Change(s): 

3. Statement of Proposed Change(s): 

4. Does Property Owner Reside at a Different Address: Yes___ No ___ 

a. If Yes, Mailing and Email Address of Owner: 

5. Owner’s Phone (Home and Cell): 

6. Acknowledgement of Two Property Owners (Most Affected) Who are Adjacent to the Property and/or Have a View of the Proposed Change(s): 

Name: 

Address: 

Signature: ___________________________ 

__ Initial here to comment before approval 

Name: 

Address: 

Signature: __________________________ 

__ Initial here to comment before approval 

Your signature indicates only an awareness of the proposed change and does not mean you give your approval or disapproval. If you have any concerns about the change(s) proposed in this application, contact a member of the Design Review Committee. 

7. Description of the Proposed Change(s):* 

*Attach additional pages as required

8. Location of Proposed Change(s): 

9. Construction material, style, size, and color:** 

** Submission of samples will expedite the approval process

10. Drawings and Illustrations 

11. Pictures and/or Manufacturer Literature 

12. Changes to Landscaping or Drainage 

13. Amount of Time Requested to Complete Proposed Project:*** 

*** Not to exceed 180 days from approval date

14. Certifications (Please read and check each applicable box) 

 The proposed alteration/project submitted for approval does not violate any Fairfax County Code 

 I understand that I am required to comply with Fairfax County construction and/or renovation requirements 

 I understand and agree that no work on this application shall begin until I have received written approval of the DRC.