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<br />0128/0:3 <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 COLORADO WATER CONSERVATION BOARD <br />Attn: John W. Van Sciver <br />1580 Logan S1., 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.) <br />1. Nameofapplicant V,'C+OR 3. ... rY\4.~ct ;.... 3-. QUI'J1J1 <br /> <br />Mailing Address ..s.!t 9 9 7 <br /> <br />tUtU';. t, I 1--/1111 ~o.s e J CO II), <br />1/0 7~~ <br /> <br />Business Phone Number (97 tJ) ~ 97- ~ 1/69 Fax Phone Number ( ) <br />FederalIDNumber e-mailAddress/e~~u:~i~ke.;...ne..T <br /> <br />2. Person to contact regarding this application, if different from above: <br />Name <br />Positiontritle <br />Address <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., Inigation District, Municipality, etc. ): Fa... .... rY\ <br />Date of Annual Meeting <br />Is the organization incorporated in the State of Colorado? YES _ NO -A- (If YES, please <br />include a copy of the articles of incorporation, and the bylaws with this application form.) <br />