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Click ‘Get Form’ to open it in the editor.
Begin by entering your personal information in the designated fields: Name, Service Address, Account Number, Phone Number, and Email Address.
Complete all applicable sections for processing. If you receive S.R.P., Roosevelt Water District, or Mesa flood irrigation, skip items 1 through 5.
During December to March, indicate the square footage planted to winter lawn and garden, total number of shrubs, evergreen trees, and citrus trees as required.
If applicable, provide the square footage of your pool and indicate if it was filled or repaired during this period. Attach a letter from the pool company if necessary.
Fill in the total number of occupants in your home and detail any leaks repaired during these months.
Review all entered information for accuracy before signing and dating the form at the bottom.

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