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Get AZ Request for Residential Wastewater Fee Adjustment - City of Mesa 2014

Ervice Address: Account #: Phone #: Email Address : ___________________________________ ____________________________________ __ __ __ __ __ __--__ __ __ __ __ __ home _____________ work _____________ ____________________________________ ***ALL APPLICABLE SECTIONS MUST BE COMPLETED FOR PROCESSING Note: If you receive S.R.P., Roosevelt Water District or Mesa flood irrigation, skip items 1 thru 5. During the months of December, January, February, and March please indicate: 1) Square footage plan.

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