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(Residential, Multi-Family, Commercial, Retail, etc.)
If the file doesn't upload, it can be emailed to email@example.com
(i.e. number of lots, number of restrooms, number of bedrooms, number of office workers, number of customers and/or average daily water use, etc.)
I, the [applicant, requestor, etc.] for this form, warrant the truthfulness of the information provided in this request for service.
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.
This field is not part of the form submission.
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