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<br />Water Supply Reserve Account – Grant Application Form <br />Form Revised May 2007 <br />_______________________________________ <br /> <br /> <br />Part A. - Description of the Applicant <br /> (Project Sponsor or Owner); <br /> <br />1. <br />Applicant Name(s): <br />City of Steamboat Springs and <br /> <br />Routt County, Colorado <br /> <br /> <br /> <br />Michael J. Zopf, Director <br /> <br />Routt County Dept. of Environmental Health <br /> Mailing address: <br />427 Oak Street, PO Box 770087 <br /> <br />Steamboat Springs, CO 80477-0087 <br /> <br />mzopf@co.routt.co.us <br />Taxpayer ID#: <br />84-6000801 <br />Email address: <br /> <br /> <br />Phone Numbers: Business: <br />970.879.0185 <br /> <br /> Home: <br /> <br /> <br /> Fax: <br /> <br />970.870.6811 <br /> <br /> <br />Person to contact regarding this application if different from above: <br />2. <br /> <br /> <br /> <br />Name: <br /> <br />Position/Title <br /> <br /> <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 />This project is a joint project of the City of Steamboat Springs and Routt County. Routt County Government <br />encompasses virtually the entire upper Yampa River Basin in its jurisdiction. The City of Steamboat Spring is a <br />Municipal Government and the County Seat of Routt County. <br /> <br />Both the City of Steamboat Springs and Routt County are eligible applicants for this grant program, and Routt <br />County will act as the fiscal agent for the grant. The County’s Environmental Health Department will act as the <br />contracting agent and be primarily responsible for the contract with the U. S. Geological Survey who will <br />undertake the studies proposed herein. <br /> <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 />N/A <br /> <br /> <br /> <br />2 <br /> <br />