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Service Application
{}
W10=
Will Serve Letter Date (If Applicable)
*
Project Address
*
APN(s)
*
Brief Project Description
*
Property Owner and/or Agent Name
*
Phone Number
Email Address
Mailing Address
Number of Residential Services
Number of Commercial Services
Number of Landscape Potable Service
Number of Landscape Recycled Services
Number of Fire Services
*
Preliminary Plans or Tentative Project Map (Including Construction Materials)
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-
*
Please Certify the Application
*
Please Certify the Application
I certify that all information on this form is true and correct to the best of my knowledge.
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