Summer Sprinkling Program - The City of Lakewood, Ohio The City of Lakewood, Ohio -

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Summer Sprinkling Program Registration Form
Name of Homeowner*
Account Number
House #*
Street in Lakewood*
Daytime Telephone Number
Type of Residence (select one)
Acknowledgement*
- I acknowledge that checking this box and hitting Submit constitutes my signature and I hereby certify that I own and live at this property, and I further declare, under penalty of perjury, that the information provided by me on this application is the truth to the best of my knowledge and belief.

Summer Sprinkling Program Registration Form