Ongoing M&I Allocation Request - Residential (Domestic Customer) (Exh. A.4) (REVISE)Applicant (Customers with a private well) (required)Acreage (required)APN (If well is shared, submit separate request for each parcel) (required)Parcel in Basin by Size (required)1.00 AC or less (0.3 AFY)1.01 to 3.00 AC (0.5 AFY)3.01 to 10.00 AC (0.75 AFY)10.01 to 20.00 AC (1.0 AFY)20.01 AC and larger (1.25 AFY)The undersigned applicant does hereby declare under penalty of perjury under the laws of the State of California that the facts set forth in this application are true and correct and that the undersigned applicant intends in good faith to use the water at the location stated in the application.Your Signature (required)Confirm e-SignatureReview Electronic Records and Signatures Policy (required)Read our Electronic Record and Signature Disclosure I agree to use electronic records and signaturesThere was a problem saving your submission. Please try again later.Please wait while your submission is being saved...Submitting...SubmitThank you, your submission has been received.
