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<br />.- <br /> <br />CWCB Construction Fund Loan Application <br /> <br />Form Revised March 4, 1998 <br /> <br />4. Is the organization incorporated in the State of Colorado? YES..x.. NO_ <br />If"YES", please include a copy of the Articles of Incorporation, and the Bylaws with <br />this application form.) The Articles of Incor:poration are attached hereto as Attachment 1. <br />and the Bylaws are attached hereto as Attachment 2. <br /> <br />5. Please provide a brief description of the owner's existing water supply facilities and <br />describe any existing operational or maintenance problems. (Attach separate sheets and a <br />map, if needed.) See Attachment 3, a description of the Company's facilities, and <br />Attachment 4, a map showing the general location of the Company's facilities and <br />irrigated lands. <br /> <br />6. For existing facilities indicate: <br />(a) Number of shareholders: 1, or (b) Number of customers served: N/A <br />(c) Current Assessment per share: m (d) Number of shares: 6,018914 <br />(e) Number of acres irrigated: A,pproximately 2.500 currently <br /> <br />Part B. - Description of the Project <br /> <br />1. Name of the project or facility: Black Hills Reservoir, formerly knows as the Model <br />Reservoir. <br /> <br />2. What is the purpose of this loan application? Check one. <br />New project <br />Rehabilitation or replacement of existing facility <br />Enlargement of existing facility <br />..x.. Emergency Repair <br />Other (describe) <br /> <br />2 <br /> <br />- <br />/---, <br />! <br />