KALEDEN IRRIGATION DISTRICT

2504975407

TEMPORARY EXEMPTION FROM WATERING RESTRICTIONS

A ratepayer may apply for a temporary exemption from watering restrictions under special circumstances. Please fill out the form below and submit it to the District for consideration.

Name

First Name

Last Name

ADDRESS IN KALEDEN

Phone

(###)

###

####

Please fill out the fields below if you are applying for a temporary exemption from watering restrictions.

CURRENT RESTRICTIONS

Description

Please explain the reasons you are requiring this temporary exemption from watering restrictions and how long you will require the exemption.