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<br />Water Supply Reserve Account - Grant Application Form <br /> <br />Form Revised October 2006 <br /> <br />. <br /> <br />Part A, - Description of the Applicant (project Sponsor or Owner); <br /> <br />1. <br /> <br />Applicant Name(s): <br /> <br />Mancos Water Conservancy District <br /> <br />Mailing address: <br /> <br />42888 Rd N <br />Mancos, CO 81328 <br /> <br />Taxpayer ID#: I 98-0460 I <br /> <br />Phone Numbers: Business: <br />Home: <br /> <br />I Email address: <br /> <br /> <br />gary _ mwcd@velocitynetdsl.com <br /> <br /> <br />70-533-7325 <br /> <br />Fax: <br /> <br />970-533-7325 <br /> <br />2. <br /> <br />Person to contact regarding this application if different from above: <br /> <br />. <br /> <br />Name: <br /> <br />Gary Kennedy <br /> <br />PositionlTitle <br /> <br />Superintendent, M.W.CD. <br /> <br />1 Provide a brief description of your organization below: Refer to Part 2 of criteria and guidance for required <br />Information. Attach additional sheet(s) as needed. <br /> <br />Mancos Water Conservancy District, organized January 6,1941, under State of Colorado, <br />C.R.S. ~ 37-45-101 <br /> <br />and the <br /> <br />Mancos Water Conservancy District Water Activity Enterprise, organized in 1993, under State <br />of Colorado, C.R.S. ~ 37-45.1-106 <br /> <br />(Any funds need to be through the water activity enterprise.) <br /> <br />. <br /> <br />2 <br />