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<br />,. <br /> <br />Colorado Water Conservation Board <br />CONSTRUCTION FUND LOAN APPLICATION <br /> <br />i <br />Instructions: This application form should be typed, or printed neatly with black ink. You may <br />attach additional sheets as necessary to fully answer any question, or to provide additional <br />information that you feel would be helpful in evaluating this application. rfyou have difficulty <br />with any part of the application, please contact the Colorado Water Conservation Board office for <br />assistance, at (303) 866-3441. <br /> <br />Generally, the applicant is also the prospective owner and sponsor of the proposed project. rfthis <br />is not the case, please contact the CWCB staffbefore completing this application. <br /> <br />Part A. - Description of the Applicant (Project Sponsor or Owner)~ <br /> <br />/ <br /> <br />I. Name of applicant(s): The Mo.deLL...and & rrri~ation Company <br />c/o Tom Tefertiller ~,~.1 ~a/{'4-1/ <br />Mailing address: POBox 57 <br />Model. Colorado 81059 <br />Taxpayer ID#: 84-026900 <br /> <br />Telephone Number: Business <br />Home <br />EM <br /> <br />(719) 846-6745 <br />(719) 846-6745 <br />(719) 846-2235 <br /> <br />2. Person to contact regarding this application, if different from above: <br />Name: Robert Trout <br />Position/title: Attorney <br />Mailing address: Trout & Raley, P.C. <br />1775 Sherman Street. Suite 1300 <br />Denver. Colorado 80203 <br />Telephone Number: Business (303) 861-1963 X /;If- <br />Home (303) 863-7580 <br />~ (303) 832-4465 <br /> <br />3. Type of organization (Ditch Co., Irrigation District, Municipality, Private Owner, etc.): <br />Non-Profit Corporation Date of Annual Meeting: Second Saturday in January <br />