HomeMy WebLinkAbout1178052 -I -:4-1'D'? S 1�J L11•'( Ui- OLEI I!-'r;i --
Fq Community
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' . Development Group
NEW SWIMMING POOL
PLAN SUBMITTAL AFFIDAVIT
Ordinance#2046 •
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Date r,9'' 7- a_3
Property Address
Name of Property Owner ,eta_
I. 7 No children less than six years of age reside at this house.
II. A child under the age of six years of age resides at this house.
(If this box is checked, identify method of secondary pool •
protection.)
A. 01 "We will provide an interior fence and enclosure around
the pool as required by the Glendale Pool Barrier
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p. We will provide exterior fence and enclosure protection
with secondary protection as checked on page two of
this affidavit per the Glendale Pool Barrier Ordinance.
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I-14-199 1':= 1•i3 - C:i Y OF GLENLDALE F _
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C o mmu ni ty . .
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1 . 111 The pool shall be protected by a motorized safety pool cover.
7. — Doors and windows protected.
3 . _ _ LI The pool shall be protected by an alarm maintained in or on the
swimming pool.
4. E The above ground swimming pool shall have ladder secured.
5. E Locking hard safety cover on the spa or hot tub.
6. E Alternative protection not specified above Which is attached to
the plan submittal and submitted for approval by the building
o fncial.
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Owner. Name (printed) Owner Si .ature Date
5///95 7*--;-P ,cPc,9 ZS /2-7,,,A44e(7521(224.-Le 6.- 1:-.7-€ 0 -7
Pool Contactor(printed) Pool Contractor Signature Date
Notaryatt,, e_1).,idy, „ith - 7, 0)03
Date
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County of State of (JLCyOoff_CL. .
Dat1 . 73
�, �`r OFFICIAL SEAL
--4,4, y hh :;.� . STEPHANIE C.WILEY '
�/ �✓ ! = Notary Public•Stets of Arizona
4vd` MARICOPA COUNTY
My Commission Expires Mycom,sxplre,Fab,27,2005
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MUST BE NOTARIZED
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