Municipal Annexation Electric Service Transfer Application

This application must be submitted by the City requesting transfer of electric service

There is a $500.00 application fee due with the application

Annexation Name: (required)

Date of Application (required)

City (Applicant) (required)

Applicant representative name: (required)

Email address: (required)

Mailing address: (required)

Annexation Date: (required)

Annexation Acres: (required)

No. of existing residential and/or business customers within annexation to be evaluated: (required)

Parcel Serial Number(s)

This Application must contain the following: • AutoCAD (dwg) format Drawings of the Annexation Area • - or - GIS Shape (.shp) files

Required Upload: Autocad dwg files

Required Upload: GIS shape (.shp) files (required)

Scope of SESD Application Assessment. SESD shall use commercially reasonable efforts to complete its Application Assessment within ninety (90) days of receiving a completed application and any additional information requested by SESD.

Accepted and agreed to by: (signature of applicant) (required)

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