Washington County Water Conservancy District
Application must be submitted by the legal property owner or a legally appointed representative. The homeowner’s association (HOA) must be the applicant for projects located in common or limited common areas.
FIRST NAME
LAST NAME
BUSINESS, COMMUNITY OR TRUST NAME (if applicable)
PHONE NUMBER
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EMAIL
CONFIRM EMAIL
CONTACT NAME (optional)
CONTACT EMAIL (optional)
CONFIRM CONTACT EMAIL (optional)
CONTACT PHONE (optional)
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PROPERTY TYPE
Single-family HomeMulti-family HomeBusinessHOA Common Area
OCCUPANCY (please select all that apply)
This property is my primary residence.Rental income is earned on this property.
PROPERTY ADDRESS
St. GeorgeWashingtonHurricaneIvinsSanta ClaraLa VerkinToquervilleApple ValleyEnterpriseHildaleLeedsNew HarmonyRockvilleSpringdaleVirginUnincorporated
Final payments will be sent to the property mailing address on file with the Washington County Assessor’s Office.
PROJECT AREA
Front YardSide YardWater FeatureBack YardCommon AreaPark Strip
COMMENTS (optional)
By checking this box, you are electronically signing this application to the Water Efficient Landscape Program. By signing this document, you certify that you are the legal owner of the property or you represent and certify that you are duly authorized and empowered to execute and deliver this application and agreement. You acknowledge and agree to the conditions in this agreement. You agree that your electronic signature is the legal equivalent of your handwritten signature. You also agree that no certification authority or other third-party verification is necessary to validate your electronic signature and that the lack of such certification or third-party verification will not in any way affect the enforceability of your electronic signature.