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2. If after reviewing the Sewer Standby Charges Refund list, you have determined that the District may have funds belonging to you, please complete the online form to submit a request for Sewer Standby Charges Refund.
4. First Name*
5. Last Name*
7. Business Name
9. Mailing Address*
11. City*
12. State*
13. Zip*
17. Assessor's Parcel Number*
18. Ownership Year(s)
20. Dollar Amount
22. Proof of Identity
    Attach supporting documentation
24. Electronic Signature*

    1. By checking this box, I have completed this form and affirm that the information contained herein, including any attachments, is complete and accurate.
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26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit Submit and Print

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