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Capital Maintenance Fee Adjustment Form

  1. (see water bill)

  2. If 2nd unit (aka Accessory Dwelling Unit), please complete Boxes A and B:

  3. Box A

  4. Size in square feet:

  5. Irrigation System?*

    If yes, please provide the approximate area of lawn that is irrigated.

  6. Does the structure have a fire sprinkler system installed?*

    If yes, please attach additional supporting documentation such as: The Building Dept. final inspection card, or letter from the fire sprinkler installer. If no, you may qualify for a meter reduction. Please do not complete this form. Instead, submit a completed “Meter Reduction Worksheet” available at www.marinwater.org/metersizing

  7. Meter Sizing Table - Water Using Fixtures

    The District will use the information you provide to determine if your property qualifies for a Capital Maintenance Fee Adjustment of one meter size. (a) Enter the maximum number of lawn sprinkler heads used at one time, or a maximum flow rate for the irrigation system.

  8. Applicant Information

  9. Electronic Signature*

    By typing the name above, the property owner hereby certifies under penalty of perjury that the information provided in this application is true and correct.

  10. Leave This Blank:

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