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<br />Montrose County West End Weed Cost Share Program <br />161 S. Townsend Ave., Montrose, CO 81401 <br />Telephone: (970)249-5216 Fax: (970) 249-6835 Email: IminclenCaco.montrose.co.us <br />Weed Management Plan <br />Montrose County West End Parcel Number(s) to be treated: <br />f ealeo r aTCe1 Road A6dreSS'. \ ; <br />Landowner: <br /> <br />Land User:-.) i nQ1 -mot ? l 161-) C.. OW 11 L <br />Mail Address: TO _P) 0X / G <br />City: co- State: C 0 Zip: <br />Phone: 17 C. <br />- C' <br />Direct Questions to: ?l;,n <br />Yes ? No <br />Yes `5?"`N o - - <br />Mail Address: H 0 ,Rr x '-? I (C, <br />City: L n 'rl State: Zip: <br />Phone: <br />Make check payable to: <br />Have you received Cost Share in a prior year? <br />Will land use of crop change in the next 5 years? <br />If yes, please explain briefly: <br />Chemical recommendations for this section may be obtained from qualified sources. <br />I obtained my recommendations from: (check one) <br />? Name Below ? Montrose County website ? Product Label <br />Name: of (Agency or Company): <br />Target <br />Weed <br />I Treatment <br />Date Crop or Site Herbicide Label <br />Rate per <br />Acre Total <br />Infested <br />acres Volume <br />Required Actual <br />Cost X50% =Cost j <br />Share <br />Amount ' <br />Russian <br />Knapweed Bud to early <br />bloom or around <br />June 21 Dry land <br />grass <br />pasture Redeem R&P <br />plus Biosurf <br />, 4 pts or <br />2 qts. 4 acres 16 pts. <br />(2 gals) $136.00 x50% $68.00 <br /> x50% <br /> X50% <br /> X50% <br /> <br />% <br />X50 <br /> x50% <br /> x50% ?. <br />i <br /> <br />I <br />X50% <br /> x50% <br /> Totals X50% <br />Official Use Only-Do Not Write Below This Line <br />Approved By: <br />Date Rcceivcd: <br />Rcceivcd By: <br />Date: Approved Amount: <br />? 1s` Application ? 2nd Application