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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 /> <br /> <br /> <br /> <br />Program Design: <br />Requested Grant Amount (must equal 80% of total program budget): $______________________ <br />Required Municipality Matching Amount (must equal 20% of total program budget): $______________ <br />Total Program Budget (Requested Grant Amount + Match): $_____________________________ <br />Example Calculation: <br />Requested Grant Amount $16,000 (80% of total) <br />Required Municipality Matching Amount $4,000 (20% of total) <br />Total Program Budget $20,000 (100% of total) <br />Will your program be a grant program or rebate program? ________________________________ <br />Estimated Number of Items: <br />Item Estimated Number <br />Toilets <br />Irrigation Controllers <br />Clothes Washing Machines <br />Irrigation Spray Sprinkler Bodies <br />Irrigation System Audits <br />Dishwashers <br />2