New Development Utility Availability Request

Project Name

Project Description

Primary Contact First Name

Primary Contact Last Name

Primary Contact Email

Primary Contact Phone Number

Request Address

City

State
Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Postal Code

Township

Company Name

Address

City

State
Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Postal Code

Contact Person First Name

Contact Person Last Name

Phone

Email

Type of Project
-- Select Type of Project -- Commercial Residential Industrial Multi-family Mixed-use

Project Location (relative to streets)

Number of Single Family Residences

Number of Duplex/Townhomes

Number of Apartment Units

Number of Commercial Lots

Describe the anticipated use of Commercial Lots

Number of Industrial Lots

Describe the anticipated use of Industrial Lots