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<br />~ <br /> <br />CWCB Construction Fund Loan Application <br /> <br />Fonn Revised March 4, 1998 <br /> <br />1. List any existing liability or indebtedness that exceeds one thousand dollars. For example, <br />bank loans, government agency loans, bond issues, accounts payable, etc. Include names <br />and addresses of lenders, amounts, due dates and maturity dates. (You may attach a <br />separate schedule if you wish): <br />Lender Total Due Maturity <br /> <br />Name/Address Amount <br />l)C). DrJ'\~T~Nb'l tJc....~~..1.T5 <br /> <br />Dates Date <br /> <br />2. Are any of the above liabilities now in default, or been in default at any time in the past? <br />YES NO 'i. If "YES", please give detailed explanation: <br /> <br />3. Please provide a summary of all revenues received during the last two fiscal years by <br />category (such as service charges, tap fees, assessments, etc.): <br />5 ~e ~ -H-o.c~ e d Cy) <br /> <br />. 4. Please provide a brief narrative description of potential sources of funding (in addition to <br />the CWCB) which have been explored or which will be explored for the proposed project <br />(Examples would be Banks, Rural Development, Colorado Water Resources and Power <br />Development Authority, Colorado Division of Local Government, etc.) <br />l S.!~~MlLlC~~0n...~~Q..~ . <br /> <br />5 <br />