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OHSP Application
OHSP Application
I/We hereby request participation in the Downers Grove Sanitary District Cost Reimbursement Program for the Installation of Overhead Sewers or Backflow Prevention Devices, hereinafter called the ("Program").
I/We own, and this Application is for, the following property:
Address
*
Street Address
City
*
Downers Grove
Westmont
Oak Brook
Liberty Park HOA
Darien
Woodridge
Lisle
Zip Code
60515
60516
Zip Code
Zip Code
Zip Code
Zip Code
Zip Code
Parcel Number (P.I.N.)
*
You may obtain the Parcel Number (P.I.N.) from your real estate tax bill or search for your P.I.N. at the DuPage County Treasurer’s
website
I/We have received copies of the Program Requirements for the Overhead Sewer Program and for the Private Property Infiltration and Inflow Removal Program attached to and made a part of this Application.
I/We agree to be sure that all pets are confined, for District Personnel arrival and the duration of the inspection, to an area where my/our pets will not have contact with District Personnel for the safety of my/our pets and District Personnel.
I/We have received sample copies of the Agreement for Cost Reimbursement Program for the Installation of Overhead Sewers or Backflow Prevention Devices and the Building Sanitary Service Access Agreement, and understand that said Agreements must be signed upon notice of preliminary approval as detailed in the Program Requirements.
Acknowledgement
*
I acknowledge the above statements.
Property Owner Signature
*
By printing your name here, you acknowledge that all the above information is correct, and authorize the Sanitary District to determine eligibility for the above referenced property to participate in the District's Cost Reimbursement Program for the Installation of Overhead Sewers or Backflow Prevention Devices and the Building Sanitary Service Access Agreement.
Additional Property Owner Name (if applicable)
If there is more than one property owner, this information assists the District in the preparation of the Program agreements.
Phone number
*
Email
*
Preferred method of contact: (please select one)
*
Phone number
Email
NOTE:
If this property is held in a trust, or the owner is a corporate entity, please contact Kimberly Giardini at 630-969-0664 to obtain a form to provide required additional information. The above mentioned Overhead Sewer Program and Access Agreements cannot be prepared without this additional information.
Today's Date
03/14/2026
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