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<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 NO ~ <br />(If "YES", please include a copy of the 311icles of incorporation, and the Bylaws with <br />this application form.) <br /> <br />5. Please. provide a brief description of the owner's existing water supply facilities and <br /> <br />describe any existing operational or maintenance problems. (Attach separate sheets and a <br /> <br />map, if needed.): t\ (\ ..t <br />5 ctQ. U 'l'~ ~c 1.\ ~'D ic.ct\ \...h~ 'tl ~ Co') <br /> <br />6. For existing facilities indicate: <br />(a) Number of shareholders or <br />(c) Current Assessment per share $ ~ \ l:t <br />(e) Number of acres irrigated ~ \ ~ <br /> <br />. (btNumber of customers served . \ \ \ <br />(d) Number of shares t.J I f\. <br /> <br />Part B. - Description of the Project <br /> <br />1. Name of the project or facility: ~c:.w U~I~'lC2... C;cJ~PLI( -~t.uJ LU ~ <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 />_ Emergency Repair <br />_ Other (describe) <br /> <br />2 <br /> <br />... <br /> <br />-~ <br /> <br />.. <br />