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GIENDlE Development Group
NEW SWIMMING POOL PLAN suBmirrm,AFmAviT
Ordinance#2,046
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Date .65- 0(P -7014
Pry Address rtf1 W Pus , l'1 0
Name of Property Owner Ui1Wj.f T -1-kyluget
L ® No:hiGt',E6p w'Qless 'f{i .40 six years of age reskle atibis address.
I- 0 A d star the age of six year's of age resides at this adds .s.
(If this box is checked,identify method of secondary pool protection)
A. 0 We will provide an interior fence and enclosure around the pool as
rem by the Glendale Pool Bather Ordinance.
B. :0 We will provide exterior fence and enclosure protection with
secondary protection as checked on reverse side of thus affidavit per the
Glendale Pool Bather Ordinance.
WHICH IS THE NEXT PAGE AST THIS DOCUMENT
i
j S-1-I2
TUTS.S IS THE REVERSE NIDE OF TILE PREVIOUS S PAGE
1. 0 The pool shall be protected by a motorized safety pool cover.
2.. 0 10'.ems and v,"7ug covfS air E ,.R-:: ,i- e
3. 0 The pool shall be protected by an alarm maintained in or on the
shg pool
4. 0 The above ground swimming pool shall have a secured ladder.
5. 0 Locke hard safety cover-on the spa or hot tub..
6. 0 Alternative protection not specified above which is attached to the
plan submittal and submitted for approval by the Building Official
.jklitic).-' T, *neva , _4_____,
, .._____ .. ._ .3- ‘ - //
.406" ,a, 4M 0441011tr ,,,,it etfOwner 1.0.t4krres•- Date
Pool`•_ .t.eatvsa' to e-oeew< '-II ,7SSiley hec,- Date
SIGN/4: 1 . OFOW MR.MUSTBENOT"
State of Arizona
County
On this CPS" day of Med ,20 14 ,before me,.personally appeal
Q&V 1-1 T -kr(m (name of,z;Itt;',,)„,Ni+AXSe-41----.4,4;41' was
proven to me on the basis of satisfactory evidence to be the person whose sae is
subscribed to in this document, and who acknowledged that he/she signed the
above/attached document.
---,i4-41;;;:t1—
GABRIELA LOPEZ
.�,, A NOTARY PUBLIC-ARIZONA
Maricopa County
1,- ` My Commission Expires
�rn:� January 26.2017 , ilivf1111/1
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