Water Variance Application Name of Property Owner * Required First Last Address * Required Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Subdivision Contact (Responsible Party) * Required First Last Phone * RequiredEmail Sprinkler System? * Required Yes No Building Permit Number if system is newPlease call 350-9830 to get a permit. Type of new lawn * Required Seed Sod Plugs Hyrdroseed Overseeding an older/patchy lawn Square feet of lawn * RequiredCubic yards of compost * RequiredDate installed * Required Month Day Year Location of lawn * Required Entire Lawn Front Yard Side Yard Back Yard An original receipt or invoice for seed or sod * RequiredMax. file size: 400 MB.An original receipt/invoice for compost (not topsoil, amended topsoil or fertilizer) * RequiredMax. file size: 400 MB.A photo of rototilling or receipt of tiller purchase/rental * RequiredMax. file size: 400 MB.Signature * Required I hereby certify that all information provide here is correct and truthful and give permission to the Water Department Staff to inspect the property. I also understand that if I fail to abide by the rules, I may have my variance revoked.E-Signature * Required Please type your name, indicating that you have read and agree to the above statement.Date * Required MM slash DD slash YYYY CAPTCHA