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] City of Thomson MCDUFFIE COUNTY PLANNING COMMISSION 210 RAILROAD STREET, THOMSON, GEORGIA 30824 (706) 595-5355, FAX (706) 595-4204 POOL OWNER AFFIDAVIT Note: Must Be Signed Before Pool Permit Issued! Property Owner Information ] McDuffie County Property Owner: _ Property Location: 'Road,st,eet(Address) Applicant Applicant I have received and read the attached section 305, Barrier Requirements, as depicted in the 2018 International Swimming Pool and Spa Code and Commentary along with the 2012 International Property Maintenance Code 303, Swimming Pools, Spas and Hot Tubs which include regulations for the structures and barriers. I understand the intent of the code is to prevent potential loss of life due to accident or drowning, I acknowledge as the property and pool owner that the barrier requirements remain in perpetuity and it is against McDuffie County's ordinance to remove, replace, alter, or change the barrier in a manner that reduces its effectiveness as a safety barrier. Signature of Property Owner Subscribed and Sworn Before Me on This the Day of , 20 _ Notary Public *The property owner affidavit for pools, hot tubs, and spas MUST be signed and notarized before applications are submitted. Effective June 2021 ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK--- ---PAGE BREAK---