Fillable Form 1.: VARIANCE REQUEST APPLICATION PACKET (Maricopa County Telecommunications)

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Form 1.: VARIANCE REQUEST APPLICATION PACKET (Maricopa County Telecommunications)

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REV Nov 14, 2019
ENVIRONMENTAL SERVICES DEPARTMENT
Swimming Pool Plan Review and Construction
501 N. 44
th
Street, Suite 200 Phoenix, AZ 85008
PoolPlanReview@Maricopa.Gov
VARIANCE REQUEST APPLICATION PACKET
A. All applications MUST contain the following information:
1.
POOL NAME: Name of establishment and street address must read the same as was
submitted for construction review or as permit reads.
2.
APPLICANT NAME: Print name of owner or authorized agent attending the hearing
B. Additionally, the Variance Request must be specific as to what is being requested. Submit all
explanatory paragraphs, pertinent material, exhibits, plans, and any material necessary to
inform MCESD of the reason for your request.
1.
Online Submittal: A complete variance submittal consists of the variance form completely
filled out AND all supporting material attached to each corresponding spot on the variance
form. One application per variance request. The variance fee must be paid no later than the
Monday following the variance deadline or it will be postpone to the following month.
2.
In Person/Mail in Applications: A complete variance submittal consists of nine (9)
variance forms completely filed out AND all supporting material attached to each form and
a check for $200.00. One application and check per variance. All materials must be
collated.)
3.
The Swimming Pool Variance hearings are scheduled to be heard every second Thursday
of the month. All hearings shall be open and public. (See attached scheduled hearing
dates).
4.
The Manager of the Water and Waste Management Division shall serve as the Director's
representative at all meetings and furnish secretarial services for this Committee.
5.
The Health Officer shall render a final decision within 10 days of receiving the Committee
recommendations.
6.
In some cases, the applicant may waive a hearing by the Committee and appeal directly to
the Director. In such cases, the Director will render a decision within ten (10) days of the
date that the appeal is filed.
7.
If the applicant/petitioner for the variance request is dissatisfied with the decision of the
Director, the applicant/petitioner may appeal to the Board of Health. Such appeals shall be
presented to the Secretary of the Board of Health in writing, within thirty (30) days after the
filing of the decision of the Director.
NOTICE: A fee of $200.00 accompanies each variance. (per variance request)
REV Nov 14, 2019
ENVIRONMENTAL SERVICES DEPARTMENT
Swimming Pool Plan Review and Construction
501 N. 44
th
Street, Suite 200 Phoenix, AZ 85008
PoolPlanReview@Maricopa.Gov
ENVIRONMENTAL SERVICES DEPARTMENT
SWIMMING POOL ADVISORY HEARINGS
AGENDA SCHEDULING DATES OF VARIANCE REQUEST APPLICATIONS
January 1, 2020 – December 31, 2020
SUBMITTAL DEADLINE SWIMMING POOL
- REQUIRED - ADVISORY COMMITTEE
PRIOR TO HEARING HEARING DATE
DUE BY 3:00 PM
Dec. 05, 2019 Jan. 09, 2020
Jan. 02, 2020 Feb. 13, 2020
Feb. 06, 2020 Mar. 12, 2020
Mar. 05, 2020 Apr. 09, 2020
Apr. 02, 2020 May 14, 2020
May 07, 2020 June 11, 2020
June 04, 2020 July 09, 2020
July 02, 2020 Aug. 13, 2020
Aug 06, 2020 Sept. 10, 2020
Sept. 03, 2020 Oct. 08, 2020
Oct. 01, 2020 Nov. 12, 2020
Nov. 05, 2020 Dec. 10, 2020
Dec. 03, 2020 Jan. 14, 2021
Application must be complete & include all required copies, plans, specs & fees to be accepted
for scheduling the hearing date in the next month following submission. Petitioners will be
notified
• Submit 9 sets including in each completed copies of the application, plans and any related material.
• Attach plan of proposed facility clearly delineating area where variance is requested.
REV Nov 14, 2019
ENVIRONMENTAL SERVICES DEPARTMENT
Swimming Pool Plan Review and Construction
501 N. 44
th
Street, Suite 200 Phoenix, AZ 85008
PoolPlanReview@Maricopa.Gov
REQUEST FOR VARIANCE FOR CONSTRUCTION OF A PUBLIC OR SEMI-PUBLIC SWIMMING POOL OR SPA
This Pool/Spa is: New Existing
Pool/Spa MCESD # SP-__________
Has the applicant submitted plans and a request for approval to construct/remodel a swimming pool to the
Maricopa County Environmental Services Department for review?
Yes No
Is this an Appeal to the Director and does it meet at least one of the stipulations on the following link:
https://www.maricopa.gov/DocumentCenter/View/7538/Reference-Tool-PDF?bidId Yes No
The undersigned requests a variance from the requirements of the Maricopa County Environmental Health Code Chapter VI applicable
to the design, construction or operation of bathing places – public and semipublic swimming pools. It is understood that a variance can
be granted only when Chapter VI of the Maricopa County Environmental Health Code is more restrictive than Administrative Rules
and Regulations of the State of Arizona 9-8.
PROPERTY
Property Name:
Pool Identifier:
Pool Address (as in permit):
City:
State:
Zip:
Phone #:
( )
Email:
OWNER / MANAGER
Owner/Manager Name:
Address:
City:
State:
Zip:
Phone #:
( )
Email:
APPLICANT
Applicant Name:
Company:
Address:
City:
State:
Zip:
Phone #:
( )
Email:
Specify the request and justification in one sentence below. (and attach additional sheets if further explanation is
necessary)
REV Nov 14, 2019
ENVIRONMENTAL SERVICES DEPARTMENT
Swimming Pool Plan Review and Construction
501 N. 44
th
Street, Suite 200 Phoenix, AZ 85008
Phone (602) 506-0070 PoolPlanReview@Mail.Maricopa.Gov
SIGNATURE
I hereby authorize , of
firm to represent me at the Variance Hearing and act on my behalf for the
project listed above. I understand the decision will have a long term impacts on the property and residents.
By clicking “I agree”, you agree and acknowledge that 1) your application will not be "Signed" in the sense of a traditional
paper document, and 2) By signing in this alternate manner, you agree that your “electronic signature” is valid and binding
upon you to the same effect as a handwritten signature.
I agree:
42
Pool Manager/Owner’s Signature:
Title:
43
Printed Name:
Date:
All Applications MUST contain name of owner / or authorized agent (letter of authorization must be submitted if
signed by agent)
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Form 1.: VARIANCE REQUEST APPLICATION PACKET (Maricopa County Telecommunications)

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Completed 6 August 2020

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