Water Efficient Landscape & Irrigation Application
Permit No.
Project Address
Plan Check No.
Project Type
(e.g., new construction, rehabilitated
landscape area, existing landscape area)
Total Landscape Area
(square feet)
Water Purveyor
Water Supply Type (e.g.
potable, recycled, well)
Applicant
Title (e.g. property owner, contractor, architect)
Address
Phone Number
Email
Applicant Signature and Agreement
“I
agree to comply with the requirements of the water efficient landscape ordinance
and apply the criteria for the efficient use of water in the landscape design plan
.”
Signature
Date
Property Owner(s) Please Print
Address
Phone Number
Prescriptive Option
General Compliance
Compliance Type:
click to sign
signature
click to edit