Sevier County, UT

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  1. Please include a scanned or electronic copy of your beekeeper license.

  2. Please include a scanned or electronic copy of your organic farmer license.

  3. Please include a scanned or electronic copy of your physician certificate.

  4. If a public health threat is identified during the spray year in your area, pesticide will be applied regardless of the no-spray request. If you have a no-spray request for the current year in which a public health threat is identified, you will be given 24 hours' notice before spraying begins.

  5. By placing your name in this box your are electronically signing this form.

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