To petition for a variance, please complete and submit this application. You will have an opportunity at the end of the form to upload additional documents for submittal, if necessary.

Date*

Name of Resident*

Resident Address*

City*

State*

Select a StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMassachusettsMarylandMichiganMinnesotaMississippiMissouriMontanaNorth CarolinaNorth DakotaNebraskaNevada New Hampshire New JerseyNew MexicoNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWest VirginiaWisconsinWyomingWashington D.C.

Zip Code*

Phone Number*

Alternate Phone Number

Email Address*

Please mark all which apply for applicant's residence*

Residence - six or more family members permanently living at the same address Residence - utilize property for livestock or agricultural purposes

Resident(s) - medical conditions that the restrictions will cause hardship on Residence - regarding swimming pool

Specific Provision for Variance Request*

Property Address (Location for Variance Request)*

City*

State*

Select a StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMassachusettsMarylandMichiganMinnesotaMississippiMissouriMontanaNorth CarolinaNorth DakotaNebraskaNevada New Hampshire New JerseyNew MexicoNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWest VirginiaWisconsinWyomingWashington D.C.

Zip Code*

Period of Time for Variance*

Description of Variance Request*

Description of demonstrated water conservation measures being employed at the above listed residence*

Has residence implemented measures to reduce water consumption by 5% compared to the previous year's utility bill for the same month? (City of Rowlett will complete)

Yes No

If you have any additional documents to include with this submittal, please upload them here.

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By entering your name below, you are authorizing that the statements entered above within the Drought Contingency Plan - Petition for Variance form are true and accurate. This is your signature for digital submissions. *

If you have questions or need additional information regarding this form, please contact Patrick May, Water Quality Technician.

Contact Phone Number: (972) 463-3912

Fax Number: (972) 463-3907