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Outdoor Rebate Eligibility Application

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Manatee County Utilities Account Number

Subdivision

Phone Number

Do you have a different mailing address?

Yes

Are you the property owner?

Yes

Only the property owner is authorized to submit this form.

Is there a backflow preventer installed at your property?

Yes

Don't know

Backflow preventer is required for properties with an in-ground irrigation system per Article X of Chapter 2-31 Manatee County Code of Ordinances.

What rebate category(ies) are you applying for? Please check all that apply.

Alternative Water Source

Irrigation Well

Reclaim Water Connection

Rain Sensor

Soil Moisture Sensor

Evapotranspiration Control

WaterSense Labeled Smart Irrigation Controller

Irrigation System Repair or Replacement

Landscape Retrofit

Property Owner's Signature

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

Property eligibility determined by:

Average water consumption exceeding 8,500 gallons per month for the 2-year period immediately preceding the application date.
Backflow prevention assembly registered and in compliance with County regulations.
Ability to complete evaluations and workshop(s) if required and installations/repairs within 365 days from date of this application's approval.
Only one rebate per type may be received per property and shall not exceed $2,500 per property or a combined amount of $3,500 if an irrigation well is included.

Application will be processed within 30 days of submission

Outdoor Rebate Eligibility Application

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Customer's Name

Property Address

Do you have a different mailing address?

Mailing Address

Are you the property owner?

Is there a backflow preventer installed at your property?

What rebate category(ies) are you applying for? Please check all that apply.

Property Owner's Signature