Leicester, NY · Livingston County
Water Service Application
Property owners or their agents use this application to request a new water service connection and provide information about the property and proposed service.
What this form is
Property owners or their agents submit this application to the Town of Leicester for a proposed water service connection. It requests property and contact details, service use, fixture counts, private well status, and flow information for non-residential properties. Applicants must include a sketch showing the new service and existing utilities; non-residential properties must also submit plans for the proposed service line.
Who needs it
Property owners requesting a water service connection, or their agents when serving as the main project contact, need to complete this application.
How to submit it
Return the completed application to the Town Clerk's Office, where the new service location and existing private utilities are identified and the connection fee is determined. The instructions say all fees must be paid before approval.
About notarization
This document is signed and dated without a notary; the applicant just signs and dates the application.
How to submit this form
- 1
Download The Application
Download the Water Service Application and its instruction sheet.
- 2
Complete The Application
Fill in the property, owner, service request, and fixture information, then sign and date the application.
- 3
Gather Required Items
Print a sketch showing the new service and existing utilities; non-residential properties must also submit proposed service line plans.
- 4
Return It To The Town
Return the completed application to the Town Clerk's Office. The connection fee is determined there and must be paid before approval.
Frequently asked questions
- Do I need a notary for the Water Service Application?
- No. The application calls for the applicant's signature and date, but does not require notarization.
- How do I submit the Water Service Application?
- Return the completed application to the Town Clerk's Office. Identify the new service location and existing private utilities there; the connection fee is determined by that office.
- What information does the application ask for?
- It asks for property and owner details, service use, fixture counts, private well status, and, for non-residential properties, maximum flow information.
- What should I include with the application?
- Print a sketch showing the new service and existing utilities. Non-residential properties must also submit plans showing the proposed service line's size, material, length, and location.