Developer Service Request - County Line Special Utility District

Developer's Name(Required)

I am requesting water and/or wastewater service(Required)

Number of acres being developed

Address or road name of development(Required)

Type of development(Required)

(commercial, residential, multi-family, mixed-use, etc.)

Name of development(Required)

What will the development be known as?

Number of estimated LUE's(Required)

To be reviewed/approved by CLSUD Engineers

Number of phases of construction(Required)

Active water/wastewater service will be needed by(Required)

Preliminary layout is required for review

Owner/Develper Name(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Contact Person(Required)

First Last

Contact Person's Phone Number(Required)

Contact Person's Email Address(Required)

Enter Email Confirm Email

Engineering Firm's Name(Required)

Engineer's Name(Required)

First Last

Engineer's Phone Number(Required)

Engineer's Email Address(Required)

Enter Email Confirm Email

Developer Service Information