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SEWER CONNECTION SPECIAL ASSESSMENT ELECTION

  1. I understand that the connection assessment fee is:*
  2. I am electing to not immediately pay this fee in full. I understand that this fee will be assessed to the property and show up as a special charge on my tax bill, payable over five (5) years with interest. The 2022 interest rate is 3.75% per year.
  3. I also understand that there will be a $30 plumbing permit fee that must be paid at the time the permit is applied for.*
  4. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  5. Leave This Blank:

  6. This field is not part of the form submission.