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GREENFIELD TOWNSHIP ZONING4663 CARROLL CEMETERY RDCARROLL, OH 43112

POOL FENCE AFFIDAVIT

As the owner of the property at

, in Greenfield Township, I am aware of, and have received a copy of, the requirements for both Above and In Ground Swimming Pools in accordance with Section 416-PRIVATE SWIMMING POOLS of the Greenfield Township Zoning Code.

Fence

EXISTING FENCE

I certify that my property has an existing fence which meets the requirements of the Greenfield Township Zoning Code for a swimming pool enclosure.

NEW FENCE

I take full responsibility, as the property owner, that the pool shall be protected by a properly constructed fence or barrier during and after construction.

OWNER’S NAME

OWNER’S SIGNATURE

DATE

The foregoing was sworn to and acknowledged before me this day of , .

NOTARY PUBLIC

My Commission Expires

Phone: 740-756-9378zoning@greenfieldtwp.org