Laserfiche WebLink
Metropolitan Council Water Efficiency Grant Application Form <br />Applicant Information <br />Municipality: <br />Municipality Utility: _ <br />Mailing Address: <br />Primary Contact Information: The City/Community primary authorized representative (all <br />correspondence and city responsibility regarding participation in the Grantee Program should be should <br />be addressed to individual named below). <br />NAME: <br />TITLE: <br />STREET: <br />CITY, ZIP: <br />PHONE: <br />EMAIL: <br />Secondary Contact Information: City/Community Secondary Authorized Representative: <br />NAME: <br />TITLE: <br />STREET: <br />CITY, ZIP: <br />PHONE: <br />EMAIL: <br />Municipal Utility Total Per Capita Water Use (2013): <br />Municipal Utility Residential Per Capita Water Use (2013): <br />Municipal Utility Ratio of Peak Month to Winter Month Water Use (2013): <br />Municipality's estirnated annual water savings from proposed program: <br />Municipal Utility Grant or Rebate Program Design <br />Requested Grant Amount (must equal 75% of total program budget): <br />Required Utility Matching Amount (must equal 25% of total program budget): <br />Will your program be a grant program or rebate program: <br />tN <br />L <br />