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<br />Water Supply Reserve Account - Grant Application Form <br />Form Revised May 2007 <br /> <br />Part A. - Description of the Applicant (Project Sponsor or Owner); <br /> <br />1. <br /> <br />Applicant Name(s): <br /> <br />District 64 Reservoir Company <br /> <br />Mailing address: <br /> <br />100 Broadway Plaza, Suite 12 <br />Sterling, CO 80751-2757 <br /> <br />Phone Numbers: Business: <br /> <br />Email address: l~~frank@ISPw~d."~;g~~"__~ <br />(970) 522-1378 <br /> <br />TaxpayerID#: 74-319-4938 <br /> <br />Home: <br /> <br />Pax: <br /> <br />(970) 522-0848 <br /> <br />2. Person to contact regarding this application if different from above: <br /> <br />Name: <br /> <br /> <br />Manager <br /> <br />Joe Frank, PE <br /> <br />Position/Title <br /> <br />3. Provide a brief description of your organization below: see "Description of Applicant" in Part 2 of Criteria <br />and Guidance for required information. <br /> <br />The District 64 Reservoir Company was formed by the owners of water rights in the Lower South Platte near <br />Julesburg Colorado. This company was formed to purchase the water rights, engineering and legal documents and <br />title to the land where the Ovid Reservoir is planned and for other purposes relating to the provision of a water <br />supply for the area. It was formed as a non-profit mutual ditch and reservoir company. <br /> <br />4. If the Contracting Entity is different then the Applicant (Project Sponsor or Owner) please describe the <br />Contracting Entity here. <br /> <br />2 <br />