2. Nature of Request

   1. Infrastructure Installation
   2. Water Use Charges

   Check all that apply.

4. Applicant Information
6. Applicant Name*
8. Applicant Address*
10. Applicant City*
11. Applicant State*
12. Applicant Zip*
14. Applicant Phone Number*
15. Applicant Email Address
19. Property Information
21. Property Owner*
23. Owner Address*
25. Owner City*
26. Owner State*
27. Owner Zip*
29. Owner Phone Number*
30. Owner Email Address
34. Water Utility Information
36. Name on Account*
38. Account Address*
40. Account City*
41. Account State*
42. Account Zip*
44. Account Phone Number*
45. Account Email Address
49. Garden Information
51. Garden Address*
53. Where on the lot is your garden located?*

    (example: NW corner)

55. How many regular volunteers will work at the garden?*
57. Garden Size (sq. ft.)*
58. Anticipated Growing Season*
60. Who will benefit from the garden's yield?*
62. What Storm Water Best Management Practices Practices (BMPs) does/will your garden employ?*

    Please see Storm Water Best Management Practices for examples.

64. Please upload garden's operational budget*
Leave This Blank:


66. 1. Receive an email copy of this form.
67. Email address

    This field is not part of the form submission.

68. Submit

* indicates a required field