Request for Variance from Drought Contingency Plan

STOP! Before filling out this form, please call our main office at (512) 261-6222 ext. 110 to confirm your location is serviced by Lakeway MUD.

If you prefer, you may instead print and mail or deliver this form. [ Printable Version ]
Application is hereby made for a variance to the Lakeway MUD Drought Contingency Plan as described below:
Customer Name*
First Last
Service Address*
Street Address City State Zip Code
Mailing Address
Same as Service Address?

Street Address Address Line 2 City State Zip Code
Phone
Email
Purpose of the water use:
Specific provision of the Plan from which applicant is requesting relief:
Detailed statement as to how the specific provision of the Plan adversely affects applicant :
Description of the relief requested:
Period of time for which the variance is sought:
Alternative water use restrictions or other measures the applicant is taking or proposes to take:
Other pertinent information:
The undersigned Applicant understands that the processing of this Application will be handled in accordance with the Procedure for Requesting Variances to the Drought Contingency Plan established by Lakeway MUD. It is further understood that acceptance of this application does not obligate LMUD to approve the variance
Signature
Date
MM slash DD slash YYYY
Name
This field is for validation purposes and should be left unchanged.

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