HomeMy WebLinkAbout83586 4 r '
433 5-6-to
tipighi477, iv Glendale
-T- i D eveIotm enL Service Center
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�1\ T FOUL
A R jt TER T-TFID: .:1,7",,TET
Date 7/2( / 1 -
Property Address 4p7 5 7r 'o�
same of Property Owner Lam , C . 0c
�`.:dren ie.ss than six '+' ars of e resale at this acdd_ress.
1 L _ - :.:.. 1 .:._d er the age of six t ears of age re.s.l_es at his address.
i,1f this bc.x L. checked. 'dez.tif-• method of secondary pool protection..)
by the L..i_d :e - --- 33.17]...
o\ .de ex:erir: fence nets...e pry e
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f1C&C / LtJ , 17-ry-q_
! ' ' '' ' .
r ri City of Glendale
mikF Development Service Center
_ . The nocl s hail be protected by a motorized safety_ pool cover.
2. Doors and -svindo,vs protected.
-- The
- e poolbe protected otected by a,! alarm maintained i }
-- - . _ �,, :,��� �_a_I _ a n in cr en the
swimming pool.
The above ground s�';:i in tool shall have a ladder secured.
- c. Locking: hard safety cover on the spa or hot tub.
- 6. Alternative protection not specified above which is attached to the
plan submittal and submitted for approval by the building official.
1-4 0,-__C I--tb( -e_ f C-//rim. 7/ i/t'
N,-_.e ofHor e Owe- (Print) Hone 0%,. er �4. .a-: T ---
( . .t• L., 7z./(/ I
Pool Con::me:et (Print) Co-__c:cr Sin .i.-e ,:e
SIGNATURE OF OWNER MUST BE 'NOTARIZED
St -se of Arizona
County of Mal icopa
Ca this a, day of Et ___ )0 / . before me personally
appeared �iP, 4—tr.) _----- — 1(name ofsigner), _,hose
'_d�entir\` \�.�as 'oroved to me on the basis of satisfactory evidence to be the i_,ersc
whose n2n.te is _ ,clzeribed to in this dcc!.tj_:ent and who __kni1v. ed:r d that
heshe _c.iz.ned the _v o•, e:attached document.
OFFICIAL SEAL
` C MARGO JEFFREY
Notary Public-State of Arizona
Ch. / MARICOPA COUNTY
'`'."'—'�j My Comm.Expires Ocl.26,2016 ' }