2. Date
   Date
4. Property Owner Name*
5. Phone Number
7. Mailing Address*
8. Mailing City*
10. State*
11. Zip Code*
12. Email Address
16. FKAA Account Number
17. Parcel ID
19. Physical Address of Property*
20. Physical Property City/Key*
22. Reason for Appeal*

    1. Excessive Use
    2. Irrigation
    3. Change of Use
    4. Other (Please Describe)
23. If Reason for Appeal is Other, Please Describe
24. Restrictive Covenant on File?

    1. Yes
    2. No
28. Resolution for Appeal

    1. Adjustment
    2. Appeal Denied
29. Original EDU's
30. Revised EDU's
32. Reason for Decision
34. Appeal Reviewed By
35. Date
    Date
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36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

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