Subdivision/Apartment Complex Backbone Request

**Please note, that this application can only be used when applying for backbone infrastructure for multiple lots. For all other services, the service application should be used instead. Visit our application for service page**

Development Information

Applicant Name(Required)

First Last

Applicant Email - will receive a copy of application submission(Required)

Development Name (please include phase/addition)(Required)

Developer Name(Required)

Engineering Firm(Required)

Location of Development

Primary Contact Information

Name

Company

Phone Number

Type of Backbone Service(Required)

Residential (single family home)

Commercial

Apartment complex or multiplex

Other

Describe the type of backbone service you are requesting here.

Maximum per lot square feet

ex. 1500 per lot

Number of lots(Required)

ex. 30 lots plus clubhouse

Construction start date (mm/dd/yyyy)

Lighting Options:

View styles

LED Cobra Head

LED Town & Country

LED Box

Additional Information or Comments

Please upload the site plan below.

AutoCAD files (viewable in AutoCAD 2020 or older) MUST be in a zipped folder to be uploaded.

1 file only.

Accepted file types: gif, jpg, png, pdf, doc, docx, xls, xlsx, zip, Max. file size: 20 MB.

Applicant Electronic Signature (Full Name)(Required)

I hereby verify the information to be true and complete and agree to the terms and conditions. I understand that by typing my full name and pressing the Submit button, this form submission will be stamped with today’s date and authorized by me as if I had signed my signature.

This field is for validation purposes and should be left unchanged.