DESERT HILLS OF SCOTTSDALE HOA 
ARCHITECTURAL CHANGE REQUEST FORM 

Please submit to 
Email: designreview@kinneymanagement.com
Regular Mail: Kinney Management P.O. BOX 25466 TEMPE, ARIZONA 85285             FAX (480) 820-7441 

DATE:_________________________ 

OWNER’S NAME:_________________________________________________________________________

PHONE NUMBER:_____________________________  EMAIL:_____________________________________

FULL ADDRESS:__________________________________________________________________________ ________________________________________________________________________________________ 

DESCRIPTION OF WORK TO BE DONE: ______________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ 
________________________________________________________________________________________ 

CONTRACTOR NAME, ADDRESS, AND PHONE NUMBER:_______________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ 

TYPE OF MATERIALS TO BE USED:__________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ 

DIMENSIONS OF STRUCTURE (HEIGHT, WIDTH, ETC.), IF APPLICABLE: __________________________ _______________________________________________________________________________________

COLOR(S) TO BE USED:___________________________________________________________________ 
(If submitting for exterior paint, color samples must be included with the application AND we will require you to paint a patch on the exterior of your home with the trim and body colors to be used so that our committee can look at the colors in natural light.) 

PLEASE INCLUDE COPIES OF ANY DRAWINGS OR PHOTOS IF APPLICABLE. 

The Committee’s review and approval is limited to, and only pertains to, the ITEMS DESCRIBED ABOVE. The fact that any ‘other’ information, improvement, or modification is shown on the plan(s) submitted does not mean that it is considered a part of the submittal.