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Application for Water/Sewer/Refuse
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Customer Name
*
Your answer
Service Address
*
Your answer
Mailing Address
*
Street Address or P.O. Box
Your answer
I am moving...
*
IN
OUT
Required
Date of Move In/Out
*
MM
/
DD
/
YYYY
Forwarding Address if moving out
Your answer
Phone Number
*
Your answer
Email
*
Your answer
Number of people that will be living here
Your answer
Round Up Your Bill
*
Round up to the next whole dollar to help with city beautification
YES
NO
Required
Add to Swift Reach (no charge)
*
Be added to the City of Maple Lake Emergency Notification System
YES
NO
Required
Garbage Can on Property
*
Can will have a dark brown lid
YES
NO
Required
Recycling Can on Property
*
Can will have a tan lid
YES
NO
Required
Own or Rent
*
I Own
I Rent
Rental Landlord
Your answer
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