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2. Note:

   Everything in this application must be completed. Incomplete applications will not be accepted. Compliance with the Town of Boone Unified Development Ordinance (PDF) and payment for all necessary infrastructures needed to provide services may be required. Falsification of any information will be justification for denial. Applicant or a representative must be at water allocation hearing.

4. Applicant's Name*
5. Applicant Phone Number*
7. Applicant Email*
9. Address*
11. City*
12. State*
13. Zip Code*
15. Property Owner's Name*
16. Property Owner's Phone Number:*
18. Property Owner's Address*
20. City
21. State
22. Zip Code
24. Service Address (Include Street Name) or Location Description*
26. Type of Development*

    1. Residential (Single Family)
    2. Residential (Multi-Family)
    3. Commercial
    4. Institutional
    5. Other
27. What type?
29. What type?
30. If other, what property type?
32. Total Number of Units*

    If not residential, please answer N/A

33. If applicable and/or required, I am willing to annex the entire property for which utility service is requested into the Town of Boone Cooperate Limits?*

    1. Yes
    2. No
    3. Entire Parcel/'s Are in Town Limit's
35. If applicable and/or required, I am willing to comply with the Town of Boone Unified Development Ordinance?*

    1. Yes
    2. No
36. If applicable and/or required, I am willing to pay for all costs associated with providing utility services to the property for which this application is made?*

    1. Yes
    2. No
38. Tax Parcel Identification Number (P.I.N.) Required *
39. Is the property for which this application is made undeveloped (i.e. without structure or vacant?*

    1. Yes
    2. No
41. Has the property for which this application is made been subdivided since 2005?*

    1. Yes
    2. No
43. Applicant/Owner's Signature*
44. Date of Application*
    Date of Application
Leave This Blank:


56. 1. Receive an email copy of this form.
57. Email address

    This field is not part of the form submission.

58. Submit Submit and Print

* indicates a required field