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Non-Residential Connection Application for Utility Service/s – Form 1C

  1. Town & Country Utilities, Babcock Ranch Water Utilities as operated by Town & Country Utilities and
  2. Capacity Fee and Meter Installation Fee Billing
  3. Account Set-Up, Deposit, Base Charge and Usage Billing
  4. SERVICE AGREEMENT
    The Babcock Ranch Water Utilities (“Utility”), a division of the Babcock Ranch Community Independent Special District (“District”), will provide service upon payment of the below fees and charges in accordance with the Babcock Ranch Water Utilities Policies Manual (“Policies”).
  5. ACKNOWLEDGEMENTS
    Customer acknowledges reading the Policies and by accepting Utility Service, agrees to comply with said Policies at all times. All capitalized terms used in any Utility form document, unless defined therein, will have the definition provided in the Policies. The Policies, including the Potable Water, Wastewater and Irrigation Quality Water Rates and Fees Schedule may change from time to time. Customer is familiar with the Policies prohibiting cross connections, discharges and the requirements for backflow prevention. By accepting Utility service, Customer agrees to allow access to the property by Utility personnel (which includes employees of MSKP Town and Country Utility, LLC and Babcock Ranch Irrigation, LLC) to perform the services of the Utility in rendering the Utility Service and acknowledges that the Utility will have easements over the property in accordance with the Policies.
  6. Requested Service
  7. Fire Protection
  8. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  9. *If Customer is not an individual, entity must submit proof of authorization for person completing and signing application on behalf of the entity.
  10. Telephone: 800-826-5721
  11. Fax: 719-599-4057
  12. Form 1C– Rev 4/ 20/20
  13. Leave This Blank:

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