1 Start 2 Complete Applicants are encouraged to meet with Loudoun Water early in the development plan preparation or due diligence process. Name of Project * Parcel Identification Number(s): Number(s)/Address(es) Number(s)/Address(es) Add a row Description of Project: (project location, type of development, size of buildings, Loudoun Water project ID if known) * Questions to be addressed during the meeting * Date and time of meeting request (please provide three choices at least three business days from the date of the request) ... 8:30 a.m. - 12:00 p.m. 1:00 p.m. - 5:00 p.m. Time * MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year20222023202420252026 Year Date * ... 8:30 a.m. - 12:00 p.m. 1:00 p.m. - 5:00 p.m. Time * MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year20222023202420252026 Year Date * ... 8:30 a.m. - 12:00 p.m. 1:00 p.m. - 5:00 p.m. Time * MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year20222023202420252026 Year Date * Land Owner and Developer/Tenant Information: Company: * Contact Name: * Contact Phone Number(s): * Contact Email: * Engineer Information Company: * Contact Name: * Contact Phone Number(s): * Contact Email: * Person Submitting Contact Name: * Contact Phone Number(s): * Contact Email * Upload file Upload More informationFiles must be less than 25 MB. Allowed file types: tif pict psd pdf doc docx odt ppt pptx odp xls xlsx ods xml. Upload file Upload More informationFiles must be less than 25 MB. Allowed file types: gif jpg jpeg png eps tif pict psd txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml. Upload file Upload More informationFiles must be less than 25 MB. Allowed file types: gif jpg jpeg png eps tif pict psd txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml. Upload file Upload More informationFiles must be less than 25 MB. Allowed file types: gif jpg jpeg png eps tif pict psd txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml. Leave this field blank Submit
