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a <br />• <br />• <br />APPENDIX A <br />Form 1: <br />Application for Cost Share <br />(Complete a separate application for each grove/block) <br />Owner's Name. <br />B usiness Name: <br />Mailing Address: <br />Street Address: <br />Business Phone: <br />E mail Address: <br />Grove Name. <br />Block Number: <br />Acreage: <br />Check ("l) the boxes below to indicate which practices you are requesting cost -share <br />assistance for this grove/block. <br />O IR -1 <br />❑ IR -2 <br />❑ IR -3 <br />❑ IR -4 <br />O IR -5 <br />U IR -6 <br />❑ IR -7 <br />❑ IR -8 <br />❑ IR -9 <br />❑ IR -10 <br />Aquatic Weed Barrier <br />Chemigation Infrastructure <br />Conversion to Flash Board Riser Water Control Structure <br />Conversion to Low Volume Irrigation System <br />Grade Stabilization <br />On-site Water Detention/Retention <br />Permanent Agrichemical Mixing Facility <br />Portable Agrichemical Mixing Station <br />Precision Application Equipment <br />Water Table Observation Well <br />INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED <br />Revised 03/21/02 10 <br />