HomeMy WebLinkAboutPROPERTY EXCLUSION FROM PESTICIDES 4o
Property Exclusion from Pesticides
Date:
Please exclude the following property from mosquito control activities this year:
Resident name:
Address: V29 .i.. L O
Town: K. I-IY1 cl 0\u'l( t rn'O
Telephone number: q ��- (�� t�-k -)8 � r
Property owner(if different):
Address of owner:
Town:
Types of mosquito control applications to be excluded:
Adulticiding
V"' Larviciding
This form must be submitted by certified letter dated between January 1 and March 1, of
the year the exclusion is requested, to the Municipal Clerk in the town in which the
property exists. The exclusion will run from April 1 of that year to March 31 of the
following year.
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