501 North 44th Street, 2nd Floor, Phoenix, AZ 85008 Phone (602) 506-3301 Fax (602) 506-3711
Internet: www.maricopa.gov/planning
Planning & Development Department
CODE COMPLIANCE DIVISION
Request for a Compliance Agreement
The undersigned admits to responsibility for the listed violation and intends to bring the subject
property in compliance. The undersigned will be provided with a Compliance Agreement offer
and terms within two weeks of Department receipt of this completed request. Return
completed forms to CodeCompliance@mail.maricopa.gov.
Violation Case #:
Parcel #(s):
Street Address:
Responsible Party and Mailing Address (also Email if available):
Responsible party intends to bring the subject property into compliance as follows:
Responsible party is requesting:
Compliance Agreement (property is currently noncompliant)
Settlement Agreement (payment of noncompliance fines for property that is now
compliant)
Has the violation case been to an administrative hearing before a hearing officer?
No (Is a hearing scheduled? Date )
Yes, Date
Click here to acknowledge electronically (signature not required).
Requested by the undersigned responsibility Party:
Signature / Printed Name / Date
