HomeMy WebLinkAbout24942 •
Community
r4P7
Development Group .
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NEW SWIMMING POOL - • •
PLAN SUBMITTAL AFFIDAVIT
Ordinance#2046
Please type.or print.
Date l J
Pro pert Address Ivo / N L/ 7] -
Name ofPro e Owner CJ4E �'1 coE6m,p1n
P rtY
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_ I. 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. ❑. We will provide an interior fence and enclosure around
-the pool as required by the Glendale Pool Barrier _
Ordinance. _ -
. B: . ❑ -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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.(COMPLETE OTHER SIDE)-
. - Community• •-:::-,- . 6.4,7 -
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. Development Group .. •
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1 . ❑ - .The pool shall be protected by a motorized safety pool cover. -
2. .. ❑ - • Doors and windows protected. - . - , . -
- - - - 3. - ❑ . The pool shall be protected.by an alarm maintained in-or on the . -
:swimming pool.
_ _ __4. 0 The above..ground swimming pool-shall-have secured. -
• . 5. 0 " 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.
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r\lt-1:1
AM:1-4(1 -
Name of Home Owner(Print) . Home Owner i ature .
• SIGNATURE OF OWNER MUST BE NOTARIZED
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Pool Contractor(Print) Contractor Signature . Date - .
. - - STATE OF ARIZONA. ss.
• .COUNTY OF MARICOPA-} ��
This instrumenwas acknowld before me this=day of t. .
i0 - 20-0 J ,by CAI ris�1�o,Cyyr.> . : i• t .
In w i- .• • ith set my hand and official seal. _
%� �Lam" . NOTARY PUBLIC - - •
r�F ING -
ry 'ublic-Arizona
t''ct Maricopa County ,
M Commission Ex • ,`
• ,Yr / y Aires -
ar August 12,2007 -
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