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<br />:i' <br /> <br />:0. . <br /> <br />II <br /> <br />Colorado Water Conservation Board <br />CONSTRUCTION FuND LoAN APPLICATION <br /> <br />RECE\\}ED <br /> <br />r.,UG j \ \99'i <br />f&:P\~~ w=- <br />(0lf1l'~~Q6' <br /> <br />~, <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 which you feel would be helpful in evaluating this application. If you have difficulty <br />with any part of the application, please contact the Colorado Water Conservation Board office <br />for assistance, at (303) 866-3441. <br /> <br />Generally, the applicant is also the prospective owner and sponsor of the proposed project. If <br />this 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 />. . <br /> <br />1. <br /> <br />Name of applicant(s): ij: ,~: ~~ dI ~: ~::" ~ \<-\ <-d ~ ; <>. ~ : " "" <br /> <br />Mailing address: _\ L\ ~ g :; \= ~ \ \ m D r ~ C <.J l II--\- <br />'h~ ~~\,.,. ~01"'\ Co ?( 0 <:, C), <br />() ) <br /> <br />Telephone number: Business <br />Home <br /> <br />( ) <br />( ) 1..\ 5 .:t - 8 ~ \ S <br /> <br />2. Person to contact regarding this application, if different from above: <br /> <br />Name: --:J ~ 'r'r......... S -\~ \ ^ rn t=>...... ct>r' <br />..--;'") a. ~ \ ~ <br />Position/title: '\ r- t?. .5 \ r-). -i' ^-- '" <br /> <br />Mailing address: <br /> <br />Telephone number: Business ( ) <br />Home () <br /> <br />3. Type of organization (Ditch Company, Irrigation District, Municipality, Private Owner, <br />etc.): t\-Q1('V\e...oul\e_,'j ~S ~o~~~\-(~^--- <br />