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Applicant Name

Owner of Property where project will occur

Applicant Email

Applicant Phone Number

Address Where Project Will Occur

Is this project taking place on land being used for food or crop production (examples: farm, urban garden, etc)

yes no

If this project is on a farm, is this parcel enrolled in any farm bill programs?

Project Description

Estimated Total Cost of Project

Funding Requested from WREC

Amount of total cost that will be covered by applicant

Are you interested in posting educaitonal signage on your property?

Signature

Anticipated State Date

I understand that I will be required to sign a contract with WREC detailing this project may be used to educate the community through an educational sign (7" x 9") and/or inclusion in a green practices tour. Furthermore, I understand that all projects require a minimum 25% cash or in-kind match and that project funding will occur on a reimbursement basis. If selected for funding, this project must be maintained for at least 5 years, and potentially up to 10 years depending on the project.

I understand

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