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<br />-~ <br /> <br />"'. <br /> <br />CWCB Construction Fund Loan Application <br />Revised June 16, 1993 <br /> <br />4. Is the organization incorporated in the State of Colorado? YES L- NO_ <br />(If "YES", please include a copy of the articles of incorporation, and the Bylaws with <br />this application form.) <br /> <br />5. Please provide a brief description of the owner's existing water supply facilities and <br />describe any existing operational or maintenance problems. (Attach separate sheets, and <br />a map, if needed.): <br /> <br />j) fF sf ~A/. <br />J. I5l?o kw do <br /> <br />~ L LJ LJ --z--r? ,Ii <br /> <br />rs .<:J f/? r <br />JFr? '" <br /> <br />F.-v f~ <br /> <br />ttJr <br />/?"A ?,G"...:5' <br /> <br />S:12 ff L t) l.,A -,-::r: a::>/V ./"1 fi ~ <br /> <br />If.'\/' <br /> <br />S' #/!?'Ii"-r I L1 r 6 <br /> <br />C,/J I/:r,.-./ 6- ;;r,/\/ <br /> <br />6. <br /> <br />For existing facilities indicate: <br /> <br />(a) the number of shareholders 13 ~, or <br />(b) the number of customers served <br /> <br />Part B. - Description of the Project <br /> <br />1. Name of the project or facility: j. /9 r G'/? A ~ :# 3 S- A .550 L. . <br /> <br />2. What is the purpose of this loan application? Check one. <br /> <br />t New project <br /> <br />_ Rehabilitation or replacement of existing facility <br /> <br />_ Enlargement of existing facility <br /> <br />_ Emergency Repair <br /> <br />_ Other (describe) To 1::# j-r~/L. Net. J J.A -r12,fAL hPb/Lf /{/.). <br />6 ;q..,- ~ 7"11/?/V 1)..1-1' ;O&;..I/V 7tJ...,-)I rr d/Y~ ,7",,-rt> OI'l.4:/lv' ~:rfZ.17 ' <br /> <br />3. If the project is for rehabilitation of an existing reservoir, is the reservoir currently under <br />a storage restriction order from the State Engineer? YES NO v---- <br />/J/fl <br /> <br />2 <br />