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  • Home
  • General Info
    • History of LBSA
    • Commissioners
    • Professionals
    • Executive Director & Senior Staff
    • Contacting LBSA
    • Frequently Asked Questions
    • Directions
    • Links
  • Regulations & Fees
    • Fees & Charges
    • Rules & Regulations
  • Public notification
    • Meeting Schedules
    • Meeting Agendas
    • Meeting Minutes & Resolutions
    • Budgets
    • Audits
    • Vendors List & Statement
    • Solicitation of Bids
    • Pay to Play Policy
  • Applications/Forms
    • Automated Debit Program Form
    • Employment Opportunities
    • OPRA
    • Additional Forms
  • Pay Your Bill

Additional Forms

  Address Change         Mailing Address Change Request Form
  Form A           Application for Conceptual Review of Sewerage Facilities
  Form E-1        Application for Individual Connection of Residential Sanitary Sewer into the Existing LBSA System
  Form E-2        Application for Commercial Sewer Service
  Form E-3        Application for Industrial Sewer Connection and Agreement for Industrial Wastes
  Form E-4        Application for Change of Use of Existing Sewerage Facilities
  Form E-5        Application for disconnection 
  Form E-6        Application for Change of Use – Unit changes
  Form G           Application for Floor Drain Approval
  Form H           Application for Swimming Pool Drain Approval
  Form I            Industrial Waste Discharge Agreement
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