Landscape Water Adjustment Request

This is an application for a temporary water budget increase in order to establish new landscape plant materials. An approved application will provide a three week exemption to daytime watering restrictions (10 am - 6 pm). A permit is not required, but will be delivered if requested below.

Check the box that applies to your request (required)

New Landscaping

Major Repair

Full Name

First Name (required)

Last Name (required)

Email (required)

Date (required)

Address

Street Number and Name (required)

City (required)

State/Province/Region (required)

Postal/Zip Code (required)

Phone Number (___)___-____ (required)

Customer Number (required)

By reading the Adjustment Criteria in the box below the form and checking ‘Yes,’ you confirm that you have read and understood it. (required)

Yes

Date installation completed (this will be the start of the three-week daytime watering exemption) (required)

Would you like Highlands Ranch Water to provide you a daytime watering permit for display at your residence?

Yes

Commercial Properties - square footage being repaired (will be used to calculate extra water budget)

By providing your name and dating below, the applicant certifies the included information and acknowledges they have read and understand the criteria for this temporary water increase as outlined above.

Full Name

First Name (required)

Last Name (required)

Date (required)

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