Last: First:
Parcels: Lot Size: Minimum Maximum Acres:
Lot Size: Minimum Maximum
Acres:
Township: Range: Section: Land Grant: Location Description:
Land Grant:
Location Description:
Individual Domestic Wells: Shared Wells: New Community Water System: Existing Water Utility: Water Utility: Water Right Established:
The disclosure statement needs to be amended to include information required in Sections 8 and 10 of the disclosure statement and a copyof this sent to this office as soon as the county verifies that it has been revised.