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<br />, . <br /> <br />COLORADO WATER CONSERVATION BOARD <br />CONSTRUCTION FuND LOAN APPLICATION <br /> <br />Instructions: This application should be typed or printed neatly with black ink. Attach additional <br />sheets as necessary to fully answer any question or to provide additional infonnation that would be <br />helpful in the evaluation of this application. When finished, please return this application to: <br /> <br />THE COLORADO WATER CONSERVATION BOARD <br />Attn: John W. VanSciver <br />1580 Logan St., Suite 750 <br />Denver, CO 80203 <br />Phone Number (303) 894-2571 Fax Number (303) 894-2578 <br />e-mail: john.vansciver@state.co.us <br /> <br />Part A. - Description of the Applicant (Generally, the applicant is also the prospective owner and <br />sponsor of the proposed project. If this is not the case, please contact the CWCB staff before <br />completing this application.) <br />1. Nameofapplicant "f>ine.. Rivu "'B<L'J r,,~(cl i);+C!.-h ~O","pd~ <br /> <br />Mailing Address +>. o. ~ 0 x. 3 ~ ~ S"' <br />1) lJ..lf'o..V\~o (! () % l ~ 0;2. <br /> <br />Business Phone Number (97D ) ~S""'1- %47/ Fax Phone Number (9'70) ~S9- D9/ J <br /> <br />Federal ID Number e-mail Addresse..je..i\@he..t-~C!6..Pe. . rle..t- <br /> <br />2. Person to contact regarding this application, if different from above: <br />Name ~d.V\.~i- -+... f.t1~~~ <br />Position!ritle Se(!..f''e..-~o. V'j <br />Address :P.O. Bo x. ?, ~LJ S- Du.r~jo} & ..<6' l ~ C OL <br />Business Phone Number (970) /259- ~L17 / Home Phone Number (970) :;s- 9- r<'I7 / <br />e-mail Address en~~ jJ @ rut t-sdcLf€ . ne:f- <br /> <br />3. Type of organization (Ditch Co., Irrigation District, Municipality, etc.):n?uJ"4./ :Lrr"~o{./D'" f~ <br />Date of Annual Meeting :2.-10 - 0.3 (S~~"d /YkUld~ oP "FehfU4.~,) <br />Is the organization incorporated in the State of Colorado? YES --2L NO _ (If YES, please <br />include a copy of the articles of incorporation, and the bylaws with this application form.) <br /> <br />CFLA902 <br />