Claverach Park Neighbor Input Form

CLAVERACH PARK BUILDING SIGNATURES

The City of Clayton asks those submitting building applications to get signatures from at least two of the three neighborhood trustees.  The trustees ask that residents first show their plans to the affected neighbors and get their signatures stating they have been made aware of the plans.  By signing, neighbors are not waiving their right to raise concerns with the trustees or the city.  Their signatures assure trustees that all parties have been informed.  Please submit along with this sheet a PDF and printed copy of your proposed design, including a site plan indicating Claverach Park setbacks (50’ front, 10’ side, 10’ rear) and proposed materials.  The trustees reserve the right to request additional information prior to approval.

Project___________________________________________________________________________________

Applicant’s Name_______________________________________________________________________________

Address of proposed construction__________________________________________________________________

Phone___________________________Email____________________________________Date__________

Signatures of affected neighbors

As neighbors, we are signing that we have been made aware of the planned construction project.  We understand that our signature does not prevent us from raising concerns directly with the city of Clayton or the trustees of Claverach Park. 

Signature/Name_____________________________________________________Address_____________

Comments?____________________________________________________________________________________

Signature/Name_____________________________________________________Address_____________

Comments?____________________________________________________________________________________

Signature/Name_____________________________________________________Address____________

Comments?____________________________________________________________________________________

Signatures of Claverach Park Trustees (two required)

As trustees of Claverach Park, we have confirmed this project meets the indentures of the Claverach Park neighborhood, and that adjacent neighbors have been made aware of proposed construction.

Anna Ives_______________________________________________________Date___________________________

Jim Arsenault__________________________________________________Date___________________________

Jeff Melly_______________________________________________________Date___________________________

Comments?____________________________________________________________________________________