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<br />COLORADO WATER CONSERVATION BOARD <br />CONSTRUCflON FuND LoAN APpuCATION <br /> <br />Instrodions: This 8.ppIication 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. "Wbm fini!d1ed. pleaseretum this application to: <br /> <br />THE COLORADO WATER CONSERVATION BOARD <br />Attn: Jo1m W. Van 8civer <br />" " <br />1580 Logan 81., "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 AppIiamt (Generally, the applicarifis also the prospective owner and <br />sponsor of the proposed project. If this is ~ the case, please cont.ad the" CWCB staff befure <br />completing this application.) <br />1. Name of applicant Travis smith. St1perintendent <br /> <br />San T.ni~ VRllp,y Irrigfit:ion ni~t-rict . <br /> <br />. . <br /> <br />Mailing Address <br /> <br />PO Box 637 <br /> <br />Center. 00 81125-0637 <br />Business Phone Number ( 71 q ) 71:\4-221:\4 Fax: Phone Number ( 71 q) 754-3616 <br /> <br />Federal ID Number <br /> <br />R4-6002Q34 <br /> <br />e-mail Addresss1vid@centm:ytel.net <br /> <br />2. Person to contact regardiJlg this application, if diftiu.ot wm above: <br />Name <br />Position/Title <br />Address <br />"Business Phone Number ( <br />. e-mail Address <br /> <br />Y> <br /> <br />. ~ome~Number ( <br /> <br />t. <br /> <br />3. Type of orwmi7Jlfion (Ditch Co., Irrigation District, MunicipaIity,~.): Irrigation District <br />Date of Annual Meeting 2nd WPrlnAWiRY in November. <br />Is the organization incorporatc:d in the.S.. of Colorado? YES -L NO _ (If YES, please <br />include a copy of the artides of incorporation, and the bylaws with this application form.) <br /> <br />" . . <br />Organized under the 1905 Irrigation District Act, CRS 37-41 <br /> <br />I <br /> <br />CfLA902 <br />