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Commercial Water Budget Modification Form

A water budget modification is a change to the water budget from the standard amount MNWD has assigned to your business type. If you require a budget modification, please complete this form. Water Budget Modifications are subject to periodic review by MNWD.

Customer Information

Account Name

Phone Number

Account Number(s) separated by comma

Service Address

City

Zip Code

Modifications to Commercial Water Budgets

Please select the budget modification(s) required and provide the needed information and documentation (select all that apply).

Additional Employees

Adjusted Irrigated Landscape Area

Change in Business or Occupancy, including prior vacancy

Expansion of production capacity and/or technology

Additional Employees (select one)

Seasonal Employees (3 months or less)

Temporary Employees (6 months or less)

Permanent Employees

Total number of employees

Effective date and provide and explanation related to the expansion of production or technology.

Current irrigated area from water bill (sq ft)

Requested new irrigated landscape area (sq ft)

Note the effective date and please describe the change in business. Please note that any changes in business (i.e., increase in customer volume, type of business, change in occupancy, etc.) may be reviewed periodically.

Note the effective date and please describe the change in business related to COVID-19.

Acknowledgement of Terms and Conditions

It is the responsibility of the customer to contact the District and request modifications to their water budget through a Commercial Water Budget Modification Form. Approved budget modification are effective starting with the bill following the date the District processes the Commercial Water Budget Modification Form. Approved budget modifications change the water budget (Tier 1) and will be determined on a case-by-case basis. No retroactive modifications will be made for increases in employees or change in business. Any customers providing falsified information to the District may be liable for back charges. Bill calculations based on falsified information will be recalculated with corrected customer account details.

I affirm that the information contained herein, including attachments, is complete and accurate. I understand that all water budget moficiations are subject to change based on future water conservation requirements.

I agree.

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I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.