"Petition for a Variance From the Requirements of the Regulations Governing Public Aquatic Venues 7.18.1 Nmac" - New Mexico

Petition for a Variance From the Requirements of the Regulations Governing Public Aquatic Venues 7.18.1 Nmac is a legal document that was released by the New Mexico Environment Department - a government authority operating within New Mexico.

Form Details:

  • The latest edition currently provided by the New Mexico Environment Department;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the New Mexico Environment Department.

ADVERTISEMENT
ADVERTISEMENT

Download "Petition for a Variance From the Requirements of the Regulations Governing Public Aquatic Venues 7.18.1 Nmac" - New Mexico

Download PDF

Fill PDF online

Rate (4.4 / 5) 7 votes
PETITION FOR A VARIANCE FROM THE REQUIREMENTS OF THE
REGULATIONS GOVERNING PUBLIC AQUATIC VENUES 7.18.1 NMAC
AQUATIC VENUE TYPE: (Class A, B, C, D) or Spa
FACILITY NAME
ADDRESS:
CITY:
STATE:
ZIP:
PETITIONER’S NAME (PRINT):
Phone # (
)
FAX # (
)
E-mail
Cell # (
)
MAILING ADDRESS
CITY:
STATE:
ZIP:
NMAC REQUIREMENTS FROM WHICH A VARIANCE IS SOUGHT:
PERIOD OF TIME (YRS) FOR WHICH VARIANCE IS SOUGHT:
JUSTIFICATION (ATTACH SUPPORTING DOCUMENTS AND/OR MATERIALS):
_
Preferences:
Invoice: Email
Mail
Permit: Email
Mail
VARIANCE FEE: $50.00 NON-REFUNDABLE, REMITTED WITH THE VARIANCE
APPLICATION (7.18.2.13 NMAC)
SIGNATURE OF PETITIONER
TITLE
DATE
FOR OFFICIAL USE ONLY
DATE NEW MEXICO ENVIRONMENT DEPARTMENT (NMED) RECIEVED PETITION
NOTES:
NMED FIELD OFFICE REPRESENTATIVE
TITLE
DATE
PETITION FOR A VARIANCE FROM THE REQUIREMENTS OF THE
REGULATIONS GOVERNING PUBLIC AQUATIC VENUES 7.18.1 NMAC
AQUATIC VENUE TYPE: (Class A, B, C, D) or Spa
FACILITY NAME
ADDRESS:
CITY:
STATE:
ZIP:
PETITIONER’S NAME (PRINT):
Phone # (
)
FAX # (
)
E-mail
Cell # (
)
MAILING ADDRESS
CITY:
STATE:
ZIP:
NMAC REQUIREMENTS FROM WHICH A VARIANCE IS SOUGHT:
PERIOD OF TIME (YRS) FOR WHICH VARIANCE IS SOUGHT:
JUSTIFICATION (ATTACH SUPPORTING DOCUMENTS AND/OR MATERIALS):
_
Preferences:
Invoice: Email
Mail
Permit: Email
Mail
VARIANCE FEE: $50.00 NON-REFUNDABLE, REMITTED WITH THE VARIANCE
APPLICATION (7.18.2.13 NMAC)
SIGNATURE OF PETITIONER
TITLE
DATE
FOR OFFICIAL USE ONLY
DATE NEW MEXICO ENVIRONMENT DEPARTMENT (NMED) RECIEVED PETITION
NOTES:
NMED FIELD OFFICE REPRESENTATIVE
TITLE
DATE