Tuscan Foothills-Land Improvement Request Form

District-Land Improvement Request Form
Please review the following information in-full prior to submitting your application:
Type a question*

I have read and understand the attached information regarding my responsibility for perpetual maintenance, should I submit a request and move forward with alterations to the Metropolitan District land.
Homeowner Information
Property Owner's Name*

First NameLast Name
Property Address*

Address

Street Address Line 2

City/State/ZipState / Province

Postal / Zip Code
District Name*
Home Phone*
Work Phone
Email*
example@example.com
Proposed Improvement Information
My request involves the following type of improvement*

LandscapingRockMulchDrainage / DischargeOther (specify)
Describe improvement(s)*
Anticipated completion date*

MonthDayYear
Date
Required Detail and Documentation
Site Plan*

Please upload a to-scale, overhead diagram or image of the your Lot and the impacted District-land, noting all existing improvements, and setback requirements specific to the Owner’s Lot, illustrating the proposed changes with precise measurements. Include additional images and diagrams of the area from any angle(s) that may aid in our review.
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Material List*

Please upload a full list of materials proposed for installation, including the product name, manufacturer, model, size or gauge, color, etc. For rocked areas the Materials List must include specifics for a weed barrier and edging. If product labels or sample images are available, please include them here.
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Contractor Information*

Please upload your contractors company W9, applicable license class and number, and a copy of the contractor’s insurance Declarations specifying both WSDM – District Managers and Tuscan Foothills Metropolitan District as certificate holder with additionally insured endorsement.
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Attest
I understand that I must receive approval from the District in order to proceed. I understand that the District approval does not constitute approval of the local building department and that I may be required to obtain applicable City/County permit(s I understand that my improvements must be completed in accordance with the specifications provided or approval is withdrawn. I understand that I must maintain proper slope and drainage patterns regardless of overall changes made. I accept the responsibility for perpetual maintenance of the improvement(s) proposed here.
Property Owner’s Signature*

Clear
Attest Date*

MonthDayYear
Date
District Action (for office use only)
Type a question

Approved as submittedApproved with stipulationsDisapproved
Approved subject to the following requirements
Disapproved for the following reasons
District Manager Signature

Clear
Date Received WSSD

MonthDayYear
Date
Date of Response Deadline (60 days)

MonthDayYear
Date
Should be Empty:

District-Land Improvement Request Form

Homeowner Information

Proposed Improvement Information

Required Detail and Documentation

Attest

District Action (for office use only)