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Owner Release for Utilities

  1. I would like the billing for water, sewer and trash removal for my property at:

  2. To be mailed to:

  3. As owner of this property, I am responsible for these charges should the appointed person fail to pay. I understand that the person appointed above may remove their name from this billing by notifying the City of Durango directly.

  4. Electronic Signature*

  5. * Please click the check box to validate an electronic signature. By checking this box, I am digitally signing this document. I agree to the terms stated in this document and further certify that checking this box counts as an electronic signature.

  6. Leave This Blank:

  7. This field is not part of the form submission.