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2. Name (First and Last)*
4. Address*
6. Phone Number*
7. Email*
9. Comments:*

   Explain why you are requesting the special water use permit

11. Is this permit for new seed or sod? Select both, if applicable.*

    1. New seed
    2. New Sod
12. Permit Start Date Requested*
    Permit Start Date Requested
14. Which area of the yard is the new seed/sod located? Select all that apply.*

    1. Front yard
    2. Back Yard
    3. Side Yard
    4. Entire Yard
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16. 1. Receive an email copy of this form.
17. Email address

    This field is not part of the form submission.

18. Submit

* indicates a required field