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2. 
3. CITY OF BOERNE STORMWATER DRAINAGE UTILITY APPEAL FORM
   Please fill out all applicable sections and submit or you can download the form and return to the City of Boerne Customer Care & Billing Department. Attn: Jill Christian, 447 N. Main St., Boerne, TX 78006 or by email to [email protected]
7. TO BE COMPLETED BY OWNER/APPLICANT:
9. First Name*
10. Last Name*
12. Mailing Address*
14. City*
15. State*
16. Zip*
18. Email*
20. Customer Telephone #*
22. Best day of the week/time to contact you:*
24. SERVICE LOCATION INFORMATION:
26. Physical Address
28. Utility Account #
30. REASON FOR APPEAL:

    (Please check all that apply and attach documentation and descriptions as required.)

    1. Incorrect Tier Designation - If checking this box see below for further instructions
    2. Inaccurate Impervious Area Calculation - If checking this box see below for further instructions
    3. Impervious Area Removed from Site - If checking this box see below for further instructions
    4. Incorrect Utility Account Charged
    5. Other
32. Incorrect Tier Designation (Residential)
    A property is being charged in the wrong tier based on Kendall Appraisal District Data. Owner/Applicant shall provide information from Kendall Appraisal District showing all impervious cover data for the subject property.
34. Upload required information from Kendall Appraisal District
36. Inaccurate Impervious Area Calculation
    Owner/Applicant, if available, provide a signed/sealed copy of a survey or site plan created within the past 12 months, indicating area in square feet of all impervious surfaces on the parcel. All measurements are subject to verification by City staff.
38. Upload required information
40. Impervious Area Removed from Site
    Owner/Applicant shall provide a description of the structure or impervious area removed and the date removal occurred. Please provide a map or site plan if possible.
42. Upload map or site plan
44. Appeal Description and Documentation:
    Describe the reason for the appeal as indicated above. Use the space below to provide additional information. Attach any required or supporting documentation (plats, surveys, photos, etc.) or additional pages as needed. Appeal requests that do not include all required information will be returned to the applicant without review.
46. Description*
48. Upload
    Attach any required or supporting documentation (plats, surveys, photos, etc.) or additional pages as needed.
50. Certification:
    I hereby certify that the information contained in the application is, to the best of my knowledge, correct and represents a complete and accurate statement. By entering my name and the date below, I agree to allow City staff to review and verify the above information the service address including site inspections (as required).
52. First Name
53. Last Name
55. Date:*
    Date:
57. If approved, the adjusted fee will be applied in the following month’s utility bill.
Leave This Blank:


58. 1. Receive an email copy of this form.
59. Email address

    This field is not part of the form submission.

60. Submit Submit and Print

* indicates a required field