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METROI'OLITAN <br />COUNCIL <br />2024 - 2026 <br />ET • P • LITA C • U CIL AT FFICI CY T P <br />Applicant Information: <br />MUNICIPALITY: <br />MUNICIPAL UTILITY: <br />MAILING ADDRESS: <br />Grants are only for water efficiency programs offering rebates or grants to property owners who <br />are customers of the municipal water supply system and who replace specified water using <br />devices with approved devices that use substantially less water. In municipalities where only <br />some neighborhoods or areas are served by a municipal public water supply system, only <br />those served by the municipal public water supply system are eligible. <br />If applicable, please specify what parts of your municipality would be eligible to receive rebates or <br />grants: <br />Primary Contact Information: <br />Municipality primary authorized representative (all correspondence regarding the Water Efficiency <br />Grant Program should be addressed to individual named below): <br />NAME: <br />TITLE: <br />STREET: <br />CITY, ZIP: <br />PHONE: <br />EMAIL: <br />Page - 1 <br />