Monroe County, MI · Monroe County
Application to Install Hauled Water System
Property owners or applicants use this application to request a permit to install a hauled water system for a single- or two-family dwelling.
At a glance
- Issued by
- City of Monroe County · Monroe County, Monroe County, Michigan
- Notarization
- Not required: file this form without a notary.
- Official source
- co.monroe.mi.us
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This application requests a permit to install a hauled water system for a single- or two-family dwelling. It asks for applicant and owner contact details, property location and characteristics, and the applicant’s signature and date. The form also includes county permit-review fields, a question about an affidavit recorded and attached, and required-fee lines.
Who needs it
An applicant seeking a permit to install a hauled water system for a single- or two-family dwelling should complete this application.
How to submit it
Submit the application to the Monroe County Health Department, Environmental Health Division, at 2353 South Custer Road, Monroe, Michigan 48161.
About notarization
This application is signed and dated without a notary; it asks whether an affidavit is recorded and attached but does not say the affidavit must be notarized.
How to submit this form
- 1
Download the Application
Download the Application to Install Hauled Water System PDF.
- 2
Complete the Application
Provide the requested applicant, owner, and property information, then sign and date the application.
- 3
Check the Affidavit Information
Review the form’s question about whether an affidavit is recorded and attached.
- 4
Submit to the County
Submit the completed application to the Monroe County Health Department, Environmental Health Division, at the address listed on the form.
Frequently asked questions
- Who uses the Application to Install Hauled Water System?
- An applicant seeking a permit to install a hauled water system for a single- or two-family dwelling can use this form.
- What information does the application request?
- It requests applicant and owner contact information, property location and details, and the applicant’s signature and date. It also asks whether an affidavit is recorded and attached.
- Do I need a notary for the Application to Install Hauled Water System?
- No. The application has a signature and date line but no notary block. It asks whether an affidavit is recorded and attached, but does not say the affidavit must be notarized.
- How do I submit the Application to Install Hauled Water System?
- Submit it to the Monroe County Health Department, Environmental Health Division, at 2353 South Custer Road, Monroe, Michigan 48161.