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Capital Maintenance Fee Adjustment Form

  1. (see water bill)

  2. If 2nd unit (aka Accessory Dwelling Unit), please complete Boxes A and B:

  3. Box A

  4. Size in square feet:

  5. Irrigation System?*

    If yes, please provide the approximate area of lawn that is irrigated.

  6. Does the structure have a fire sprinkler system installed?*

    If yes, please attach additional supporting documentation such as: The Building Dept. final inspection card, or letter from the fire sprinkler installer. If no, you may qualify for a meter reduction. Please do not complete this form. Instead, submit a completed “Meter Reduction Worksheet” available at

  7. Meter Sizing Table - Water Using Fixtures

    Please enter the number of water using fixtures in your property for each of the fixtures listed below. Enter "0" if you do not have any of the fixture listed. The District will use the information you provide to determine if your property qualifies for a Capital Maintenance Fee Adjustment. (a) Enter the maximum number of lawn sprinkler heads used at one time, or a maximum flow rate for the irrigation system.

  8. Applicant Information

  9. Electronic Signature*

    By typing the name above, the property owner hereby certifies under penalty of perjury that the information provided in this application is true and correct.

  10. Leave This Blank:

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