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FS0018X Application
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FS0018X Application
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Last modified
11/19/2009 11:43:39 AM
Creation date
7/9/2007 1:15:32 PM
Metadata
Fields
Template:
Loan Projects
Contract/PO #
FS0018X
Contractor Name
Sterling, City of
Contract Type
Loan
Water District
0
County
Logan
Loan Projects - Doc Type
Application
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<br />, ' <br /> <br />.. <br /> <br />Colorado Water Conservation Board <br />CONSTRUCTION FUND LOAN ApPLICATION <br /> <br />Instructions: This application form should be typed, or printed neatly with black ink. <br />You may attach additional sheets as necessary to fully answer any question, or to provide <br />additional information which you feel would be helpful in evaluating this application. If <br />you have difficulty with any part of the application, please contract the Colorado Water <br />Conservation Board office for assistance, at (303) 866-3441. <br /> <br />Generally, the applicant is also the prospective owner and sponsor of the proposed <br />project. If this is not the case, please contact the CWCB staff before completing this <br />application. <br /> <br />Part A - Description of the Applicant (Project Sponsor or Owner): <br /> <br />1. Name of applicant(s): City of Sterling, Colorado <br />ATTN: Joe Kiolbasa, PE - Director of Public Works <br />Mailing address: Centennial Square, 421 North 4th Street, PO Box 4000, <br />Sterling, CO 80751-0400 <br /> <br />Telephone number: <br /> <br />Business <br /> <br />(970) 522-9700 <br /> <br />Home () <br /> <br />2. Person to contract regarding this application, if different from above: <br /> <br />Name: <br /> <br />Penn Gildersleeve <br /> <br />Position/title: President - ICON Engineering, Inc. <br />Mailing address: ICON Engineering, Inc., 8100 South Akron, Suite 300, <br />Englewood, CO 80112-3508 <br /> <br />'- <br /> <br />Telephone number: <br /> <br />Business <br /> <br />(303) 221-0802 <br /> <br />Home () <br /> <br />3. Type of organization (Ditch Company, Irrigation District, Municipality, Private <br />Owner, etc): City Government <br />
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