Request for Utility Availability Letter

Date Field

Contact Information

Firm Name:

Firm Address

Requester Name:*

Phone Number*

Email:*

Project Location Information

Project Name:*

Intended Use for Property*

Strap/Parcel Number(s):*

Prior Strap/Parcel Number(s):

Location/Site Address:

Average Estimated Daily Flows

Water GPD:

Wastewater GPD:

Please show the calculation used to determine the average estimated daily flow:

Additional Information

Are there existing water and sewer utilities onsite?

If yes, please provide a site plan showing the location with as much detail as possible on the existing infrastructure.

Do any existing buildings utilize a sprinkler system for fire protection?

Once the request has been submitted, an invoice will be sent for the fee of $150.00 to the email provided. Invoices can be paid at www.citylabelle.com Once the fee has been received, staff will review the request. Additional information may be requested. Should you have any questions or require assistance, please feel free to call our office at 863-675-2872.