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<br />CWCB Construction Fund Loan Application <br /> <br />Lender Name & Address <br /> <br />-p~r~~~ <br /> <br />Amount <br /> <br />Payment <br /> <br />Date <br /> <br />2. Are any of the above liabilities now in default, or been in default at any time in the past? YES_ <br />NO~. 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.). <br /> <br />4. Please provide a brief narrative description of sources offunding, in addition to the CWCB, which <br />have been explored for this project (Examples would be Banks, Rural Development, NRCS, <br />Colorado Water Resources and Power Develop~ent ~t~ori~ Colorado Division of Local <br />Government, etc.). -PA.DA'??.J:'" J M/I/n1. ( ~'p~(l~A, '--I L, ~ii.J <br />0- f~. .lI aL> ~ ..;~7<AO..:f. <br /> <br />5. What collateral will you be offering for this loan? Possibilities include the project itself: pledge of <br />revenues, real estate, water rights. ~ k fA ~lj, 1- ~;fr4.-i...~. <br /> <br />The above statements are true, to the best of my knowledge: <br />Signature of Applicant <br />Byf)~~1iir/ ,t./~~I- l1JaJl~ Q,Q~ <br />Printed Name V,'e.. +0'(- j'"', ~ rY\o...Y' ~ ~ e... 9-. Q,^,' (l) I <br />Title <br />Date S/~"/()3 <br />/ f <br /> <br />C:\Projects\Marlret\CFl.A902 <br /> <br />" <br />