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<br />COLORADO WATER CONSERVATION BOARD <br />CONSTRUCTION FUND LOAN ApPLICATION <br /> <br />Instructions: This application should be typed or printed neatly with black ink. Attach additional <br />sheets as necessary to fully answer any question or to provide additional information that would be <br />helpful in the evaluation of this application. When finished, please return this application to: <br /> <br />THE COLORADO WATER CONSERVATION BOARD <br />Attn: John W. Van Sciver <br />1580 Logan St., Suite 750 <br />Denver, CO 80203 <br />Phone Number (303) 866-3449 Fax Number (303) 894-2578 <br />e-mail: john.vansciver@state.co.us <br /> <br />Part A. - Description of the Applicant (Generally, the applicant is also the prospective 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-'<~ vi Y) Vb J , ,..,. ~ -r 1 M....iJ<~ Go S s,B C K H eQ -1-1, <br /> <br />?"ope1f".Jy Ltc J A P Sp"in.J~r- ]qYm5J Lie, TGM AC rnves~n4-s <br /> <br />Mailing Address (;Y-l'Jl.Af' Ltc J Ma-rK A KrD_f5S <br /> <br />J71.J3 C~ as ML~;Y7D. Colt> 307~1 <br />" <br /> <br />Business Phone Number (nO) 5dD . Q)J DO Fax Phone Number (17D) at 7 - SID '8 <br />Federal ill Number e-mail Address d X VDJ~f'" @ ~6~('}1 S~It"". COy <br /> <br />2. Person to contact regarding this application, if different from above: <br />Name l<~v; n VO) )Yn~r <br />PositionlTitle <br />Address 5tt717~ a 5 ~bDv'c:!,., <br />Business Phone Number () Home Phone Number ( ) <br />e-mail Address <br /> <br />3. Type of organization (Ditch Co., Irrigation District, Municipality, etc.): <br />Date of Annual Meeting <br />Is the organization incorporated in the State of Colorado? YES _ NO_ (If YES, please <br />include a copy of the articles of incorporation, and the bylaws with this application form.) <br /> <br />1 <br /> <br />CFLA902 <br />