DATE:            ______________________


TO:                  Property Owner


NAME :          ________________________

(Property Owner)


RE:                  Rental/Lease Permission from Property Owners


SERVICE ADDRESS OF PROPERTY: ________________________________







This form will serve as permission for the listed tenant (s) to have water service put in their name.  Please list tenants name and anyone else on lease.  







This form must be signed and returned to the water office before water service contract can be completed. 


A lease agreement or this form will serve as written permission from the property owner. 


Thank you for your cooperation.








________________________________                    __________________________

Property Owner Signature                                           Property Owner’s Phone Number