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<br />COLORADO W ATER CONSERVATION BOARD <br />CONSTRUCfION FUND LOAN APPLICATION <br /> <br />InstnJctions: 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. Van Sciver <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.) (/'R?A}./ WellS t?F ltt/l/ftJ/0 <br />1. Name of applicant: Orphans and Widow Wells <br /> <br />Mailing Address: 3506 Morgan County Road T, Wiggins, CO 80654 <br /> <br />Business Phone Number ( 970 ) 4R~-7~1~ <br />Federal ill Number: 2~235438 <br /> <br />Fax Phone Number (970 )4~1-ll104 <br />e-mail Address: wigginswap@ao1.coDl <br /> <br />2. Person to contact regarding this application, if different from above: <br />Name: Chris D. Metherd <br />Positionffitle: Orphans and Widow Wells <br />Address: 18874 County Road 4 <br />Business'Phone Number (970 )4~1-ll'l04 <br />e-mail Address:wigginswap@aol.com <br /> <br />Home Phone Number ( 970 )4~1-6104 <br /> <br />3. Type of organization (Ditch Co., Irrigation District, Municipality, etc.): Non Profit CorporatioIL. <br />Date of Annual Meeting _to be detennined <br />Is the organization incorporated in the State of Colorado? YES _X_NO _ (If YES, please <br />include a copy of the articles ofineorporation, and the bylaws with this application fonn.) <br /> <br />CFLA902 <br /> <br />I 'd <br /> <br />tom:s- E8to- Ol.S <br /> <br />P.J~4+~W sl.J43 <br /> <br />etoO:So EO 10 +00 <br />