LPPD000244

• Contract/PO #: C150177
• Contractor Name: Smart Brothers, Inc.
• Contract Type: Loan
• Water District: 64
• County: Logan
• Loan Projects - Doc Type: Feasibility Study

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COLORADO WATER CONSERVATION BOARD
CONSTRUCTION FuND LOAN APPLICATION

Instructions: This application should be typed or printed neatly with black ink. Attach additional
sheets as necessary to :fully answer any question or to provide additional information that would be
helpful in the evaluation of this application. When finished, please return. this application to:

THE COLORADO WATER CONSERVATION BOARD
Attn: Bruce Johnson
1580 Logan St., Suite 750
Denver, CO 80203
Phone Number [phone] Fax Number [phone]
e-mail: [e-mail]

Part A. - Description of the Applicant (Generally, the applicant is also the prospective owner and
sponsor of the proposed project. If this is not the case, please contact the CWCB staff before
completing this application.)

1. Name of applicant: Smart Bros. Ine.

Mailing Address: 3254 c.R. 31 Atwood, CO 80722

Business Phone Number ( 970)521-0857
Federal ill Number 84-1081336

Fax Phone Number ( 970)521-0857
e-mail Address

2. Person to contact regarding this application, if different from above:
Name: Carson Smart
Positionffitle: Sec.ffreasurer

Address: 3254 c.R. 31 Atwood, CO 80722
Business Phone Number [phone] Home Phone Number [phone]
e-mail Address:[e-mail]

3. Type of organization (Ditch Co., Irrigation District, Municipality, etc.): Farm and Ranch
Date of Amual Meeting: January
Is the organization incorporated in the State of Colorado? YES _X_ NO_ (If YES, please
include a copy of the articles of incorporation, and the bylaws with this application form.)

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CFLA902