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APPENDIX A <br /> Form 1 : Application for Cost Share <br /> ( Complete a separate application for each grove/block ) <br /> Date .- <br /> Owners <br /> ate :Owner' s Name : <br /> Business Name : <br /> Mailing Address : <br /> Street Address : <br /> Business Phone : <br /> Email Address : <br /> Grove Name : <br /> Block Number: <br /> Acreage : <br /> Check (✓) the boxes below to indicate which practices you are requesting cost-share <br /> assistance for this grove/block . <br /> ❑ IR - 1 Aquatic Weed Barrier <br /> ❑ IR - 2 Chemigation Infrastructure <br /> ❑ IR - 3 Conversion / Repair of Flash Board Riser Water Control Structure <br /> ❑ IR -4 Conversion to Low Volume Irrigation System <br /> ❑ IR - 5 Grade Stabilization <br /> ❑ IR -6 On- site Water Detention/Retention <br /> ❑ IR - 7 Permanent Agrichemical Mixing/Washdown Facility <br /> ❑ IR - 8 Portable Agrichemical Mixing Station <br /> ❑ IR - 9 Precision Application Equipment <br /> ❑ IR - 10 Water Table Observation Well <br /> Application must include a completed copy of the Notice of Intent to Implement. <br /> INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED . <br />