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PROJ01754
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PROJ01754
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Entry Properties
Last modified
11/19/2009 11:43:28 AM
Creation date
3/8/2007 10:47:13 AM
Metadata
Fields
Template:
Loan Projects
Contract/PO #
FS0043X
Contractor Name
Colorado Department of Corrections
Contract Type
Miscellaneous
Water District
0
Loan Projects - Doc Type
Application
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<br />" ~.r- <br />..I <br /> <br />... <br /> <br />COLORADO WATER CONSERVATION BOARD <br />CONSTRUCTION FUND LOAN ApPLICATION <br /> <br />Instructions: This application should be typed or printed neatly with black ink. Attach additional <br />sheets as necessary to fully answer any question or to provide additional information that would be <br />helpful in the evaluation of this application. When finished, please return this application to: <br /> <br />THE COLORADO WATER CONSERV A nON BOARD <br />Attn: John W. Van Sciver <br />1580 Logan St., Suite 750 <br />Denver, CO 80203 <br />Phone Number (303) 894-2571 Fax Number (303) 894-2578 <br />e-mail: john.vansciver@state.co.us <br /> <br />Part A. - Description of the Applicant (Generally, the applicant is also the prospective owner and <br />sponsor of the proposed project. If this is not the case, please contact the CWCB staff before <br />completing this application.) <br /> <br />I. Name of applicant Colorado Department of Corrections for Corrections and the Division of <br /> <br />Parks and Outdoor Recreation and Division of Wildlife <br /> <br />Mailing Address Colorado Department of Corrections. Office of Facility Management Services, <br />2862 South Circle Drive. Colorado Springs. CO 80906 <br /> <br />Business Phone Number (719 ) 226-4676 <br />Federal ID Number A138714 <br /> <br />Fax Phone Number (719) 226-4605 <br />e-mail addressiohn.gillogley@doc.state.co.us <br /> <br />2. Person to contact regarding this application, if different from above: <br />Name: John W. Gilloglev <br />Position/Title: Special Proiects Coordinator <br />Address: see above <br /> <br />Business Phone Number (719) 226-4676 <br />e-mail Addressiohn.gillogley@doc.state.co.us <br /> <br />Home Phone Number (719) 473-5247 <br /> <br />3. Type of organization (Ditch Co., Irrigation District, Municipality, etc.): State Agency <br /> <br />Date of Annual Meeting <br /> <br />N/A <br /> <br />Is the organization incorporated in the State of Colorado? YES <br /> <br />NO l (If YES, please <br /> <br />1 <br /> <br />CFLA902 <br />
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