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Title

Landowner Authorization Form

 
Form number Date Published Date Revised
ECY 070-765 June 2024 May 2025
VIEW NOW Landowner Authorization Form (Number of pages: 2) (Publication Size: 160KB)


Microsoft Word format (Publication Size: 59KB)


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Description This form supplements water right applications filed with the Department of Ecology and is used to collect the required signature(s) and contact information for each landowner, or authorized representative, within the proposed place of use as described on the subject water right application. The requirement to include all legal landowner, or authorized representative, signatures within the proposed place of use is described in WAC 508-12-130.
REQUEST A COPY The mission of the Department of Ecology is to protect, preserve, and enhance Washington’s environment. To help us meet that goal, please consider the environment before you print or request a copy.

ADA Accessibility
The Department of Ecology is committed to providing people with disabilities access to information and services by meeting or exceeding the requirements of the Americans with Disabilities Act (ADA), Section 504 and 508 of the Rehabilitation Act, and Washington State Policy #188.
Visit Ecology’s website for more information
Contact wroats@ECY.WA.GOV at 206-707-2307 or wroats@ECY.WA.GOV
Keywords Water Rights, water right application, landowner
WEB PAGE Water right permits