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<br />CWCB Construction Fund Loan Application <br /> <br />Lender Name & Address <br /> <br />Remaining <br />Amount <br /> <br />Annual <br />Payment <br /> <br />Maturity <br />Date <br /> <br />NONE <br /> <br />2. Are any of the above liabilities now in default, or been in default at any time in the past? <br />YES_ NO -X..-. If YES, please give detailed explanation. <br /> <br />3. Please provide a summary of all revenues received during the last two fiscal years by category <br />(such as service charges, tap fees, assessments, etc.). F Q Q l!i: 1 999 $ :2 ~ 13 . 0 {) <br /> <br />199R $?O?r:; 00 <br /> <br />4. Please provide a brief narrative description of sources of funding, in addition to the CWCB, <br />which have been explored for this project (Examples would be Banks, Rural Development; <br />NRCS, Colorado Water Resources and Power Development Authority, Colorado Division of <br />Local Government, etc.). N'Rr.~ <br /> <br />5. What collateral will you be offering for this loan? Possibilities include the project itself, pledge <br />of revenues, real estate, water rights. P r () j Ii" r t- <br /> <br />The above statements are true, to the best of my knowledge: <br /> <br />Signature of Applicant <br />By~'T-~ <br /> <br />Printed Name {YLelv,' /l. 't:.- T~/./p,-, <br /> <br />Title P I' -e ,( I -j...{ /J r <br />Date S-cdT 7 2-6JCJo <br />. <br /> <br />C Market\CFLA400,doc <br /> <br />4 <br /> <br />..10. <br /> <br />r .,,,1 <br />