EMERGENCY RESPONSE WAIVER
I,
_________________________________, am requesting a building permit from San
Juan County at the following
location:
________________________________________________________________________
________________________________________________________________________
Which location is outside of
routine emergency response areas for law enforcement, ambulance, fire, and other
emergency services. I understand that due to the distance from these types of
services, that emergency response may be delayed due to road and weather
conditions and as such, no guarantee of response times or abilities is offered
or expected.
___________________________
________________________
Signature
Date
____________________________
Witness
Address of
Permit:________________________________________________________
