Section 531.4.7. Content of petition.

A petition for waiver shall include the following information where applicable and known to the requester:

        1.            The name, address, and telephone number of the person or entity for which a waiver is being requested and the case number of any related contested case;

        2.            A description and citation of the specific rule from which a waiver is requested;

        3.            The specific waiver requested, including the precise scope and duration;

        4.            The relevant facts that the petitioner believes would justify a waiver under each of the four criteria described in rule 531—4.5(99G). This statement shall include a signed statement from the petitioner attesting to the accuracy of the facts provided in the petition and a statement of reasons that the petitioner believes will justify a waiver;

        5.            A history of any prior contacts between the board and the petitioner relating to the activity or license affected by the proposed waiver, including a description of each affected license held by the requester, any notices of violation, contested case hearings, or investigative reports relating to the activity or license within the last five years;

        6.            Any information known to the requester regarding the board’s treatment of similar cases;

        7.            The name, address, and telephone number of any public agency or political subdivision which also regulates the activity in question, or which might be affected by the granting of a waiver;

        8.            The name, address, and telephone number of any person or entity that would be adversely affected by the granting of a petition;

        9.            The name, address, and telephone number of any person with knowledge of the relevant facts relating to the proposed waiver;

        10.           Signed releases of information authorizing persons with knowledge regarding the petition to furnish the board with information relevant to the waiver.