PROJ00143 Application

• Contract/PO #: C153810
• Contractor Name: Wood Lake Mutual Water & Irrigation Company
• Contract Type: Loan
• Water District: 1
• County: Weld
• Bill Number: SB 97-008
• Loan Projects - Doc Type: Application

111/11/11U 1-/ : J.J.

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Colorado Water Cons~:-vatioD Board
C01\'STRUCTlON FUr-'D LaM ArrUCATION

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lnslructions: This application form should be type:!, or printed nC<ltly with black ink. You :nay
attach addiuonal sheets a5 nec.es5al) to fully answer any question, Or to provide addiuonal
i:1formation which )'ou feel would be helpful in evaluating this application. jf you have dift1cuHy
with ally part of the application, please wnl;tcl the Colorado Water Co~sen'"uon Board office
ior assistance, at [phone].

Generally, the applicant is also the p,ospective owner and sponsor of the proposed proje.:r. If

this is not the case, please cont.;.ct ll-,,, CWCB staff before completing thi~ application.

Part A. - Description of lhe Applicant (Project Spor'sor or Owner);

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Nameofapplicant(sj d)rx,~ G Jaf'-p JI1u.paf tMnr t
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Mailing address: .1.?- S Ie;; w. r..
EaTon) CO

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Telepbone nJmber: Wjncss
Hor'l!~

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970 -t,'B6 ~;?;< '17-

2.

Name:

Person to cont2ct regarding this application, if differ"nt from above:

f{t-d')PI! ;len(eyj-

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J~~ S ~el& C:ur~ AJi, 7;<
F >1, 0 f30 l _
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PositionftiUe:

Mailing address:

Telephone numj~r: Bus~~.~

Horrce

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(X) q'1-0 - 6 'Bh- ;<;< '17-

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Type of organiution ,Dilen OJnlpany, Irrigation District, Municipality. Pnvate Owner,
etc.): --=n:-,t - J_ rr-.'-'f):i-n V
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