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<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 />1313 Sherman St., Room 721 <br />Denver, CO 80203 <br />Phone Number 303/866-3441 - Fax Number 303/866-4434 <br />e-mail: johnvansciver@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 /> <br />Name of applicant rity ofFount~in W~ter nf",pm1ment <br /> <br />Mailing Addres.<:: 1Hl Sonth M~ln Street, Fount~1n, C.olorncio &0&17 <br /> <br />Business Phone Number (71 Q) 1??-?014 <br />Federal ID Number <br /> <br />Fax Phone Number (71 Q) 1??-?OO? <br /> <br />e-mail Addressjmcer:.lciy@fonnt~inc.olorndo ore <br /> <br />2. Person to contact regarding this application, if different from above: <br />Name <br />PositionlTitle <br />Addres.<:: <br />Business Phone Number ( <br />e-mail Address <br /> <br />) <br /> <br />Home Phone Number ( <br /> <br />) <br /> <br />3. Type of organization (Ditch Co., Irrigation District, Municipality, etc.): Mnnicipality <br />Date of Annual Meeting: Nt A Rf".e;JlI~r1y Scheduled rity C.ouncil Meetings ?nd ~nci 4th Tu~~ys of <br />the month <br /> <br />Is the organization incorporated in the State of Colorado? YES _ NO X- <br /> <br />(If YES, please <br />