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r <br /> APPENDIX A <br /> Form 1 : Application for Cost Share <br /> (Complete a separate application for each grove/block) <br /> 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 to 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 Facility <br /> ❑ IR-8 Portable Agrichemical Mixing Station <br /> ❑ IR-9 Precision Application Equipment <br /> ❑ IR-10 Water Table Observation Well <br /> INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED. <br /> Revised 03/21/02 10 <br />