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Title

Landowner Signature Form

 
Form number Date Published
ECY 070-765 June 2024
VIEW NOW Landowner Signature Form (Number of pages: 2) (Publication Size: 1128KB)


Microsoft Word format (Publication Size: 58KB)


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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 legal owner or part owner of land where water is and/or will be used as described on the application. Applicants must upload this Form for their application (as appliable) to be considered complete. The requirement to include all legal landowner signatures 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 Chelsea Jefferson at 206-707-2307 or CJEF461@ecy.wa.gov
Keywords Water Rights, water right application, landowner
WEB PAGE Water right permits