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<br />., , <br /> <br />CWCB Construction Fund Loan Application <br /> <br />Form Revised March 4, 1998 <br /> <br />5. What collateral will you be offering for this loan? <br /> <br />The above statements are ~f my kn~~:g~ <br />Signature of Applicant: "'~ ~ <br />Title: DI<Z..Ila.. TDiL <br /> <br />Date: <br /> <br />Please return this application to: <br />The COLORADO WATER CONSERVATION BOARD <br />William P. Stanton <br />X John W. Van Sciver <br />1313 Sherman St., Room 721 <br />Denver, CO 80203 <br /> <br />0: CFLA3498.doc <br /> <br />6 <br />