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Notification of Change for Inland Wetland Agency Contact Information

The following form should be submitted whenever there is a change in a town's Inland Wetlands Agency contact information. Information submitted using this form will be available to the public unless otherwise noted in the comments section of the form. 

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** Identifies Required Field)

Inland Wetland Agency Information

Agency Name**
(as shown on town regulations)
Street Number/Name and/or PO Box
Phone # 

Authorized Wetland Agent Information

Agent Name**
Agent Title
Agent Mailing Address
Street Number/Name and/or PO Box
Work Telephone**
Alternative Telephone
Fax #
Work Hours
(If you do not have an e-mail address, please enter Not Available)
 Please check your entries before submitting form.

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  2. Or, print this page, fill it out and mail it to:

IWRD / Water Protection and Land Reuse
79 Elm Street, 3rd Floor
Hartford CT  06106

Inland Wetlands and Watercourses

79 Elm Street, Hartford, CT 06106-5127 / Phone: 860-424-3000
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