BAKER COUNTY WEED DISTRICT
1995 THIRD STREET, BAKER CITY, OR 97814
PH (541) 523-0618  FAX (541) 524-7666

2002/2003 50% COST SHARE APPLICATION
(JULY 1, 2002 THRU June 30, 2003)



APPLICANT NAME

ADDRESS

TARGET WEED

ESTIMATED ACRES ESTIMATED COST

GENERAL LOCATION






INSTRUCTIONS:

Receipts must be submitted before June 30, 2003 to be eligible for 02-03 FY funding.
Return receipts to:  Weed Control, 1995 Third Street, Baker City, Or 97814 or the weed office at the Sumpter Valley RR depot, 11th and Broadway.

Target weeds must be one or more of the following noxious weeds: tansy ragwort, musk thistle, leafy spurge, rush skeletonweed, Mediterranean sage, Russian knapweed, spotted knapweed, diffuse knapweed, Dalmatian toadflax, yellow starthistle, dyer's woad, whitetop, perennial pepperweed, purple loosestrife, black henbane, jointed goatgrass, buffalobur, and common bugloss.

USE PESTICIDES SAFELY!

WEAR PROTECTIVE CLOTHING AND SAETY DEVICES AS RECOMMENDED ON THE LABEL

READ THE PESTICIDE LABEL - EVEN IF YOU'VE USED THE PESTICIDE BEFORE.  FOLLOW LABEL INSTRUCTIONS PRECISELY.

BE CAUTIOUS WHEN YOU APPLY PESTICIDES.  KNOW YOUR LEGAL RESPONSIBILITY AS A PESTICIDE APPLICATOR.  YOU MAY BE LIABLE FOR INJURY OR DAMAGE FROM PESTICIDE USE.


APPLICATION RECEIVED:

______________________________________________ DATE: _____________ Weed Control Supervisor