Consideration of One-time Water and Sewer Adjustment at 601 Lilac Street, #4 – Motion to Approve — K.6

City of TIFFIN Application for One-Time Water and Sewer Adjustment Name: Dorothy VanHoven Service Address: Date: 2/26/26 Phone Number: 38210 8238 Resident Account Number: Reason for application: I was in hospital I lost that was I and had V & hearing giving me $30 dollar bill CITY OF TIFFIN ORDINANCE NO. 2017-398 AN ORDINANCE AMENDING THE MUNICIPAL CODE OF TIFFIN, IOWA, CHAPTER 92, BY ADDING SECTION 92.10 – WATER ADJUSTMENT 92.10 WATER ADJUSTMENT. Upon application to and at the discretion of the Tiffin City Council, each customer or address within the Corporate Limits of the City of Tiffin may be allowed a one-time adjustment on the water bill at that address or meter with an adjustment cap of $250.00. A twelve-month average billing amount will be established from the twelve immediate previous billing cycles. The customer will pay no less than the average of those previous twelve months. Tax will be paid on the original full billing amount, regardless of the amount of adjustment. If an adjustment is made to the customer’s water bill under this ordinance then the one-time sewer adjustment must also be used at the same time. CITY OF TIFFIN ORDINANCE NO. 2017-399 AN ORDINANCE AMENDING THE MUNICIPAL CODE OF TIFFIN, IOWA, SECTION 99.10(1) OF CHAPTER 99, PAYMENT OF BILLS – SEWER ADJUSTMENT 99.10(1) SEWER ADJUSTMENT. Upon application to and at the discretion of the Tiffin City Council, each customer or address within the Corporate Limits of the City of Tiffin may be allowed a one-time adjustment on the sewer bill at that address or meter with an adjustment cap of $250.00. A twelve-month average billing amount will be established from the twelve immediate previous billing cycles. The customer will pay no less than the average of those previous twelve months. Tax will be paid on the original full billing amount, regardless of the amount of adjustment. If an adjustment is made to the customer’s sewer bill under this ordinance then the one-time water adjustment must also be used at the same time. Signature Dorothy VanHoven Date: 2/26/26 ***You will be required to pay the average amount of your previous twelve utility bills at the time of application and pending City Council approval, any further adjustments will be made on the following utility bill. Since Sept I have had 4 hospital stays plf Rehab. Death of spouse and income down to $55 Amonth unable to pay it yes income $55 month os now living in care center