Form Revised 6/23/20
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?____________________________________________________________________________________
Claverach Park 