Please fill out all highlighted areas.

Make sure you sign and date the application.

Mail back to: Downs PSD

862 Husky Highway, Fairmont, WV 26554 or Fax: 304-363-7024

Email to: downspsd@aol.com , or drop-in window slot beside front door.

Pay the deposit in the amount of $130.08

Also include a copy of a photo ID.