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<br />( <br />Vi<Jc?oCi- t'i-~r <br />,If4:;>~ C--t.n,.., 12?~ ~ <br /> <br />GRANT ApPLICATION <br />Colorado Water Conservation Board - CONSTRUCTION FUND <br /> <br />Instructions: This application form should be typed, or printed neatly with black ink. You may <br />attach additional sheets as necessary to fully answer any question, or to provide additional <br />information that you feel would be helpful in evaluating this application. If you have difficulty <br />with any part of the application, please contact the Water Supply Planning and Finance Section <br />(Colorado Water Conservation Board) for assistance, at (303) 866-3441. <br /> <br />Generally, the applicant is also the prospective owner and sponsor of the proposed project. If this <br />is not the case, please contact the CWCB staff before completing this application. <br /> <br />Part A. - Description of the Applicant (Project Sponsor or Owner); <br /> <br />1. Name of applicant(s): Northwest Colorado Council of Governments ("NWCCOG") <br />Mailing address: P.O. Box 2308 <br />Silverthorne, CO 80498 <br /> <br />Taxpayer ID# 84-0639906 <br /> <br />email addressqqwater@colorado.net <br /> <br />Telephone numbers: Business (970) 468-0295 xl17 or x116 <br />Home () N/A <br />Fax (970) 468-1208 <br />2. Person to contact regarding this application, if different from above: <br />Name: Taylor Hawes or Lane Wyatt <br />Position/title: Co-Directors of the Water Quality/Quantity Program in NWCCOG <br />Mailing address: P.O. 2308 Silverthorne, CO 80498 <br /> <br />Telephone number: Business <br /> <br />same as above <br /> <br />Home N/A <br /> <br />3. Type of organization (Ditch Co., Irrigation District, Municipality, Private Owner, etc.): <br />Regional Government <br /> <br />4. <br /> <br />Is the organization incorporated in the State of Colorado? YES <br /> <br />NO X <br />