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Utility Application for Service


  1. 1. Step One
  2. 2. Information Regarding Property Owner & Property Owner Signature
  3. 3. For Agent Representing Owner
  • Step One

    1. Type of Service:
    2. Services Applied For:
    3. Customer Status:
    4. Applicant’s Signature*
      It is agreed by checking this box that I will abide by the rules and regulations in Title 13 of the Lyons Town Code regarding the provision of utility services. Also, I understand the deposit for utilities will be applied to my account in 1 year if I have no delinquencies, unless services end prior to that time. Then the deposit will be applied to my account balance and a check refunded back to me for any funds not used from the deposit.
    5. Who is filling out this form?
    6. Note
      Please have owner sign on the next page if you are a tenant.