Water Variance Request Form

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Please correct the fields below:

Please correct the field(s) marked in red below:

1

Property Owner:

*

Property Owner:

First Name:

Last Name:

Contact Phone Number:

Contact Email:

2

Property Information:

*

Property Information:

Property Address:

Reason For Variance Request:

How long will the variance be needed? (Max. 30 Days)

3

Supplemental Materials:

Supplemental Materials:

Add first photo or document to support your request (optional):

Click button for uploading file

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Maximum size allowed: 5 MB

Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

Add second photo or document to support your request (optional):

Click button for uploading file

Clear

Maximum size allowed: 5 MB

Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

Richardson, TX