Water Conservation Program

water.saver@mymanatee.org

4520 66th St. W. Bradenton, FL 34210

(941) 792-8811, ext. 5327

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 Manatee County Code of Ordinances, Section 2-31-302

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

Cistern

Community Well

Irrigation System Repair

Alternative Water Source

Rain Sensor Rebate

Irrigation System Replacement

Irrigation Well

Soil Moisture Sensor

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 in any six (6) month period prior to March 25, 2003
Backflow prevention assembly registered and in compliance with County regulations
Ability to complete, evaluations, workshop(s) if required and installations/repairs within 365 days from date of the approval of this application
Rebate has never been issued for this property

Application will be processed within 30 days of submission