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2. 
4. Applicant is Requesting Will Serve Letter for:*

   1. New Water Service
   2. Change-in-Use (Existing Service)
5. Date of request:*
   Date of request:
9. APPLICANT INFORMATION
11. Applicant's First Name*
12. Applicant's Last Name*
14. Mailing Address*
16. City*
17. State*
18. Zip Code*
20. Daytime Phone Number (include area code)*
21. Email Address*
25. PROJECT INFORMATION
27. Assessor’s Parcel No. (APN)*
29. Property Address*
31. City*
32. Zip Code*
34. Minor land division or subdivision proposed?*

    1. Yes
    2. No
35. Check existing condition(s):*

    1. Vacant parcel(s)
    2. Existing development, served by well or other water source
    3. Site has existing SqCWD Service
37. Check development type(s):*

    1. Tier I Single-Family Residence (parcel size less than 10,000 sq. ft.)
    2. Tier II Single-Family Residence (parcel size equal to or greater than 10,000 sq. ft.)
    3. Multi-Family (3 or more dwelling units)
    4. Accessory Dwelling Unit
    5. Commercial
    6. Industrial
    7. Public/Institutional
39. Description of Project
43. PROPERTY OWNER INFORMATION (IF DIFFERENT FROM APPLICANT)
45. First Name
46. Last Name
48. Address
50. City
51. State
52. Zip Code
54. Daytime Phone Number (including area code)
55. Email Address
Leave This Blank:


57. 1. Receive an email copy of this form.
58. Email address

    This field is not part of the form submission.

59. Submit

* indicates a required field