GATEWAY LAND CORP. Builder: Contact Telephone: Builder address Fax No. : Purchaser s name Lot: Block: Plan: Subdivision: Riverstone Address City:

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1 GATEWAY LAND CORP. Application for House Plan Approval Job No. Please submit to: Tracy Image Design, 60 Granville Cr. Sherwood, Park, T8A 3B8 Phone Fax One Copy of House plan approval form Working drawings include elevations Plot plan from surveyor Applicant Builder: Contact Telephone: Builder address Fax No. : Purchaser s name Lot: Block: Plan: Subdivision: Riverstone Address City: Housing Design House Type: Model: Bung Bi-level 2 Storey 1 1/2 story Split level Floor area: Main floor- Sq. Ft M2 2nd Floor Sq Ft M2 Total Sq. Ft M2 Material Color Exterior Roof Wall Fascia Soffit Eavestrough Garage Door Front door Stone Trim Windows Door Front Porch Date Signature: The applicant acknowledges that the house plan approval is provided as a service and that and its designated consultants assume no responsibility for the accuracy of the information provided, or for any losses of damages resulting from use thereof. The applicant further acknowledges that will be held harmless from any action resulting from the use of this information. Siting and grades are to be in accordance with the plot plan prepared by the surveyor. The builder is responsible for meeting the required elevations and ensuring acceptable drainage in accordance with the approved grading plan and plot plan.

2 GATEWAY LAND CORP. Tracy Image Design, 60 Granville Cr. Sherwood, Park, T8A 3B8 Phone Fax House Plan Approval Builder Lot Block Plan The application for house plan approval dated is approved subject to the following: Conditions of approval: Other recommendations: Approval Date: By: Date: By: Construction Inspection: 1) Siting & Layout Inspection: Date By: 2) Final Rough Grading & House Inspection: Date By: 3) Landscaping & Fencing Inspection: Date By: Notes:

3 Fax To: Bob Cooper (780) Builder Name Builder Representative's Name Builder's Fax Number Hold Date: Hold Expiry Date: Lot Hold Request Riverstone Standard hold form Please place on hold the following lot: Customer Initiated Builder Initiated The above mentioned lot is placed on hold under the following conditions: Customer initiated hold (Presale by builder) 1) Lot to be on hold for 7 days from the date mentioned above a) Lot hold will automatically expire at Noon on the Hold Expiry Date noted above 2) Within 7 days of the Hold Date, a copy of a customer s deposit cheque or Interim Agreement showing the customer s name must be forwarded to The lot hold will then be extended a further 14 days. Builder initiated hold (No customer involved) 1) Builder may put a lot on hold for speculative purposes for 7 days. Within the 7 days and to secure the lot, a deposit in the amount of 15% of the purchase price shall be forwarded to A hold may be challenged by another builder by forwarding a cheque in the amount of 15% of the purchase price to Gateway Land Corp. The original lot hold builder will have 48 hrs. to produce a cheque in the amount of 15% of the purchase price to retain the lot. Please contact for lot availability. Lots may only be placed on hold by completing this form. Verbal holds will not be recognized. First come first serve basis. Acknowledged By: Acknowledged Date: Date Faxed to Builder

4 Security Deposit Initial Inspection Fax To : Date: Builder Name Builder Representative s Name Builders fax number Lot Block Plan Address We have inspected the above mentioned lot and the installed improvements and report no damages to curbs, sidewalks, water valve, fence light standards, etc except for the following: Please describe personnel only Gateway Land Corp accepts the damage as noted above with the following comments: Date Return Fax to: Builder as noted above

5 Security Deposit Final Inspection Fax To : Date: Builder Name Builder Representative s Name Builders fax number Lot Block Plan Address We have completed construction on the above noted lot. Please perform final inspection. personnel only Please be advised that the following damage has occurred on the above mentioned Lot: Date Return Fax to: Builder as noted above