APPLICATION FOR SWIMMING POOL PERMIT                                           Fee ________________

Owner ____________________________________________________Telephone__________________

Address _____________________________________________________________________________

Contractor _________________________________________________Telephone__________________

Address______________________________________________________________________________

Legal Description:                                                                  Zoning District ____________________

                                                                                           Located on the N S E W side of

                                                                                           _________________________, between

_____ See attached                                                              _______________and_______________

Type of Pool___________________________________________________________________________

Dimensions of Pool_____________________________________________________________________

Type of Fence_______________________________________ Height____________________________

GENERAL REQUIREMENTS FOR SWIMMING POOL INSTALLATION:
- Approved Zoning Permit including site plan indicating water area, patio or deck if any, fence locations,
  all existing structures and all dimensions.
- Approved Swimming Pool Permit
- Electrical Permit with approved final inspection. All work must conform to the current National
  Electrical Code, Section 680. Note: All in-ground pools require an underground electrical inspection
  prior to pouring the base.
- Building Permit required for any elevated deck, patio, etc. not designed and/or built as an integral part
  of the pool structure.
- Fully enclosed pool area with acceptable minimum four foot high fence (see Pool Fence Regulations
  sheet).
- Ten foot minimum distance to property lines in most areas, as measured from water's edge (six foot in
  R1A areas only, and more may be required for corner lots (1173.08).
- Elevated decks, patios, etc. shall not be located closer than ten feet to any lot line (more may be
  required for corner lots as per 1173.08).

NOTE: ALL PERMITS SHALL BE OBTAINED AND APPROVED PRIOR TO CONSTRUCTION.

I hereby declare that all above and attached information is correct and that all required inspections will be scheduled with the Zoning Department at 666-0210.

Signed ______________________________________ Date ___________________________________

With ________________________________________________________________________________

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Recommended for Approval / Denial

____________________________________________ Date ____________________________________
     Zoning Inspector

Comments:___________________________________________________________________________

_____________________________________________________________________________________

Final Approved / Denied

____________________________________________ Date ____________________________________
     City Administrator