2011-12-15_AgendaPacket - Laserfiche WebLink

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APPLICANT SIGNATURES The landowner's signature indicates their agreement to: 1. Grant the GLWMO's represent i e(s) access to the parcel where the conservation practice will be located. (Homeowner initial/date 1 2. Obtain all permits required in conjunction with the installation and establishment of the practice prior to starting construction of the practice. 3. Be responsible for the operation and maintenance of conservation practices applied under this program in accordance with an operation and maintenance plan prepared by the GLWMO's technical representative. 4. Cost -share funds from the GLWMO will not exceed the lesser of�5Z3 13 or 50 percent of the approved total project cost to establish the conservation practice. 5. The property owner shall grant the GLWMO reasonable access to the conservation practice site for the purpose of project inspection and environmental education and demonstration events. Date Iandovmer Signature Social Security or Tax ID number for reimbursement 6 11:I,. CONSERVATION PRACTICE The conservation practice category for which cost -share is requested is A01 kIK-A�J The estimated practice cost is $ 027. �% TECHNICAL ASSESSMENT AND COST ESTIMATE I have reviewed the site where the above listed conservation practice(s) are to be installed and find that they are needed and that the estimated quantities and costs are practical and reasonable. GLWMO Txhni v Date AMOUNT AUTHORIZED FOR COST- SHARIK Cost - sharing not to exceed $ 1r 3 ti 3 or 50% of the total eligible project cost, whichever is less. GLWMO AdministrativdBoard Representative Date 2 2Mar11