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<br />-0- . SENT' BY : PAWSD <br />~ -~ <br /> <br />08-28-95 02:29PM <br /> <br />9'70'7312693~ <br /> <br />303 866 44'74 "2 <br /> <br />Colorado Water COD5Uvatiol1 Board <br />CONSnWCI10N FvND LoAN APrIJCAD0N " <br /> <br />Instructions: This application form should be typed, or printed neatly with black ink. You may <br />attach additional sheets as nec;cssary to fully answer any quesLion, or to provide additional <br />information ~hich you feel would be helpful in evalu.ati11l this application. If you have difficulty <br />with any pan of the application, please contact the Colorado Wamr Conservation Board office <br />for assislanCC, aL (303) 866-3441. <br /> <br />Gener.illy, the appUcant is abo Lhe prospective owner atld 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. - DesulptloD oC the AppUcant (Project Sponsor or Owner); <br /> <br />1. <br /> <br />Name of applicant(s): Pagosa Area Water and Sanitation District <br /> <br />Jack B. Delange, Manager <br />P.o. DrPer 4610 <br /> <br />Mallinl address: <br />Pagosa Springs, CD 81157 <br /> <br />Telephone number: Business <br /> <br />Bwll; <br /> <br />EO , 731-2691 <br />m'70 \ 731-2398 <br /> <br />2. Person to contact regarding this application, if differenL from above: <br />Name: <br />position/title: <br />MaiIina address: <br /> <br />Telephone number: Business ( 1 <br /> <br />Hgm,; r, <br /> <br />3. Type o.f olaani7.aaon (Ditch Company, Irription Di~tricl, MUIlicipality. Private Owner, <br />etc.): Water and Sanitation District <br />