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<br />rKUM <br /> <br />\rKI}JUI1 LI iUU,j !::I,:)I(vl, !::I ,:)(;I1U, O.)UlllUq:)Oq r L <br /> <br />- .~, ..- <br /> <br />COLORADO WATER CONSERVATION BOARD <br />CONSTRucnON FuND LoAN APPLICA nON <br /> <br />Instructions: This application should be typed or printed neatly with blaclc ink. Attach additional <br />sheets 88 necessary to fully answer any question or to provide additional infonnation that would be <br />helpful in the evaluation oflhis application, When finished., please return this application to: <br /> <br />THE COLORADO WATER CONSERVATION BoARD <br />Attn: 101m W, Van Sciver <br />1580 Logan St., Suite 750 <br />Denver, CO 80203 <br />Phone Number (303) 894-2571 Fax Number (303) 894-2578 <br />e-mail: jolm.vansciver@state.co.us <br /> <br />Part A. - Dacription of the Applicant (GeneraIty, the applicant is al!lO the ~ve owner and <br />sponsor of the proposed project, If this is not the case, please contact the CWCB staff before <br />completing this application,) <br /> <br />1. Name of applicant \/,' Co -to R 3. .. f'Y\4. ~" ; t.. .'t. ~lL. (. Air <br /> <br />Mailin8 Address ,3!J 99 7 <br /> <br />'!'/W'j. t, I <br /> <br />~,'/LR()..5e. Co /", <br />, <br /> <br />go 7.9~ <br /> <br />Business Phone Nwnber (97 ~) 8~ 7- .3S16 9 Fax Phone Number ( ) <br />Federal IDNumber e-mail Addressle.~~..Ali€il k(!'~'t\e.r <br /> <br />2. Person to contact regarding this application, if different from above: <br />Name <br />PositionlTide <br />Address <br />Business Phone Number ( <br />e-mail Address <br /> <br />) <br /> <br />Home Phone Number ( <br /> <br />) <br /> <br />3. Type of organization (Ditch Co., Inigation District. MUnicipality, etc.): Fa.. .. rn <br />Date of Annual Meeting <br />Is the organization incorporated in the State ofCoIOQdo? YES _ NO-1S.- (If YES. please <br />include a copy of the .rtides of incorporatioa. and the bylaWl with this application fonn,) <br />