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<br />. ",< <br /> <br />\....,./ <br />''--' <br /> <br />COLORADO WATER CONSERVAT'ION BOARD <br />CONSTRUCTION FUND LOAN APPLICATION <br /> <br />.. <br /> <br />Instructions: Please type or print with a pen the answers to <br />all questions on this application form. Attach additional <br />sheets as necessary to fully answer a question or to provide <br />any additional information which you feel would be helpfuL in <br />evaluating this application. <br /> <br />Part A. - Description of Applicant <br /> <br />If the applicant is not the prospective owner of the <br />proposed project or facility please contact the CWCB staff <br />before completing this application. <br /> <br />'" <br /> <br />1. Name of applicant(s): MIL..LrJ1.R.Y 'PnRI< 1<Ei..SG:.RVO/R L..o <br /> <br />',---" <br /> <br />Mailing address: ~~O S 1::. rRON,f~R AV'i5..., <br />o I;DARg,DG-I::... (to, "g 14-1.3' <br /> <br />.........- <br /> <br />Telephone number: ( 5DS) <l!:51o-37fo/ <br /> <br />2. Type of organization (ditch company, irrigation district, <br />municipality. private owner. etc.): ~/1/-4TJ;, DIVIVl!D:.R <br />~ R~ ~ ~J9.T1 o~ QompltNY - <br /> <br />3. Is the organization incorporated in the State of Colorado? <br />y~s - :L1\}C".nRJ:70R~-r=D MAY. IQO!=7 <br />(Please include copies of articl,e,,7, of iqcorporation wi:b -f <br />this application form.) A ((/1'1/1 fit J~_L_tf-/'U~ Pi - c/~ . <br />~i) <br />3/14.'J3 <br /> <br />7553E <br /> <br />A-l <br />