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<br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Metropolitan Council Water Efficiency Grant Application Form <br />Applicant Information: <br />Municipality: _________________________________________________________________ <br />Municipal Utility: ______________________________________________________________ <br />Mailing Address: ______________________________________________________________ <br />Primary Contact Information: Municipality primary authorized representative (all correspondence <br />regarding the Water Efficiency Grant Program should be addressed to individual named below): <br />NAME: <br />TITLE: <br />STREET: <br />_____________________________________________________ <br />_________________________________________________________________ <br />_________________________________________________________________ <br />CITY, ZIP: _________________________________________________________________ <br />PHONE: _________________________________________________________________ <br />EMAIL: _________________________________________________________________ <br />Secondary Contact Information: Municipality secondary authorized representative: <br />NAME: _________________________________________________________________ <br />TITLE: _________________________________________________________________ <br />STREET: _________________________________________________________________ <br />CITY, ZIP: _________________________________________________________________ <br />PHONE: _________________________________________________________________ <br />EMAIL: _________________________________________________________________ <br />Municipal Total Per Capita Water Use (2020): _________________ (gallons per person-day) <br />Municipal Residential Per Capita Water Use (2020): _________________ (gallons per person-day) <br />Municipal Ratio of Peak Month to Winter Month Water Use (2020): ________________ <br />Municipality’s estimated annual water savings from proposed program: _______________ (gallons)