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<br />CWCB Construction Fund Loan Application <br /> <br />r ,ender Name & Address <br /> <br />Remaining <br /> <br />A mOllnt <br /> <br />Annual <br />Payment <br /> <br />Maturity <br />Date <br /> <br />~ A 177J.C/-f-E C> ' <br /> <br />2. Are any of the abo/liabilities now in default, or been in default at any time in the past? <br />YES_ NO~. If YES, please give detailed explanation. <br /> <br />3. Please provide a summary of all revenues received during the last two fiscal years by category <br />(such as service charges, tap fees, assessments, etc.). qeE A7l7IctfEP <br /> <br />4. Please provide a brief narrative description of sources of funding, in addition to the CWCB, <br />which have been explored for this project (Examples would be Banks, Rural Development, <br />NRCS, Colorado Water Resources and Power Development Authority, Colorado Division of <br />Local Government, etc.). A/.e::D J.oAlG 7EIZJ..-1 J-o/JA/ 7l) ~tleIZ... 8-tcl!?6&vG'f <br /> <br />1?EPA/~. WEC?t1A/ &t/~ Apf)/TlOAlAL ~5E.5. FClZ-toAN WIlli c..P. <br /> <br />/~ eAf?/.J/AJ&5 ~' /)"85 ~IJ~ IF #R.E:>SAIe,/ <br /> <br />5. What collateral will you be offering for this loan? Possibilities include the project itself, pledge <br />of revenues, real estate, water rights. --6--- <br /> <br />The above statements are true, to the best of my knowledge: <br /> <br />Signature of Applicant <br /> <br />By <br /> <br />Printed Name tAt-M./ ~. ~I>OLC/<- <br /> <br />Title S.e=.'V /~. <br />/ ~ <br />Date :2-5 V;4A.1IA.A0j ,2001 <br /> <br />C :\Projects\Market\CFLA 902 <br /> <br />4 <br /> <br />CFLA902 <br />