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Water Sewer Availability

  1. I hereby submit this request for connection to the Town of Colonial Beach’s water/sewer systems.
  2. The location of the property is:
  3. Department of Planning & Community Development
  4. Availability - To be completed by Director of Public Works
    • Upon Completion Forward to: Finance Department
  5. Payment received on

  6. in the amount of $

    • Upon Completion Forward to: Town Manager
  7. Connection completed on

    • Upon Completion Forward to: Finance Department
  8. Leave This Blank:

  9. This field is not part of the form submission.