Do Not Spray Request

You may fill this out online OR print this page, fill it out and send it to the address shown at the bottom. Requests need to be submitted annually prior to March 1.

Date____________________ Parcel number: ______________________________

Don't know your parcel number? Receipts will not be processed with out it!

Look here: http://www.larimer.org/assessor/query/search.cfm

Name _________________________________________ Phone ________________________

Address _______________________________________________________________________

City/State/Zip ___________________________________________________________________

Mailing address (if different from above)____________________________________________________________________________________

I request that the Larimer County Weed District not apply any herbicides to the right-of-way next to the property I control.

Rights-of-way adjacent to above property that are not to be treated

County Road ________________________

Side of property (North, East, South, West)________________________

From (Give specific landmarks) _______________________________________________________________________________________

To (Give specific landmarks) _______________________________________________________________________________________

County Road ________________________

Side of property (North, East, South, West)________________________

From (Give specific landmarks) _______________________________________________________________________________________

To (Give specific landmarks) _______________________________________________________________________________________

County Road ________________________

Side of property (North, East, South, West)________________________

From (Give specific landmarks) _______________________________________________________________________________________

To (Give specific landmarks) _______________________________________________________________________________________

I have posted/will post these areas with DO NOT SPRAY signs so that they are clearly visible and the area is well defined.

I understand that by requesting that no herbicides be used in this area, I am now responsible for the vegetation management on the above described portion(s) of this right-of-way, including height control, annual weed control, and noxious weed control.

Signature ____________________________________________________ Date_______________

Please return this form to: Larimer County Weed District, PO Box 1190, Fort Collins, CO 80522-1190