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<br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <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 information that would be <br />helpful in the evaluation of this application. When finished, please return this application to: <br /> <br />THE COWRADO WATER CONSERVATION BoARD <br />Water Supply Planning and Finance Section <br />1580 Logan St., Suite 750 <br />Denver, CO 80203 <br />Attn: Kirk Russell, P.E. <br />Phone Number 303/866-3449 - Fax Number 303/894-2578 <br />e-mail: kirkmssell@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. Name of applicant High Line Canal Company <br /> <br />l~ <br /> <br />Mailing Address R) PDx Aoo <br />Rockv Ford. CO 81067 <br /> <br />Business Phone Number (71 ~ ?54-4?fiO <br />Federal ID Number 84-0226620 <br /> <br />Fax Phone Number t1 9 ) ;>54-(;418 <br />e-mail Address <br /> <br />2. Person to contact regarding this application: <br />Name Dan Henrichs <br /> <br />Positionlfitle <br /> <br />Superinten::lent <br /> <br />Addres.~ 49707 F. H~ 50 Avonc1::l1 P., co 810;>;> <br />C.~t..L <br />Business Phone Number (71g ) 46g-4107 Home Phone Number ( 71g) g47-1,7g <br /> <br />e-mailAddres~henrichscattle@prodigy.net <br /> <br />3. Type of organization (Ditch Co., Irrigation District, Municipality, etc.): Mt 1 to i R 1 Di to~ 11 Co11'1p::l ny <br />Date of Annual Meeting 1st Monday in December 12-05-05 <br />Is the organization incotpOrated in the State of Colorado? YES ~ NO_ (If YES, please <br />include a copy of the articles of incotpOration, and the bylaws with this application form.) <br /> <br />1 <br />