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<br /> <br />COLORADO WATER CONSERVATION BOARD <br />CONSTRUCTION FUND LOAN APPLICATION <br /> <br /> <br />.... <br /> <br />Instructions: This application should be typed or printed neatly with black ink. Attach additional <br />sheets as necessary to fully answer any question or to provide additional information that would be <br />helpful in the evaluation of this application. When finished, please return this application to: <br /> <br />THE COLORADO WATER CONSERVATION BOARD <br />Attn: John W. Van Sciver <br />1313 Sherman St., Room 721 <br />Denver, CO 80203 <br />Phone Number 303/866-3449 Fax Number 303/866-4474 <br />e-mail: john.vansciver@state.co.us <br /> <br />Part A. _ Description of the Applicant (Generally, the applicant is also the prospective owner and <br />sponsor of the proposed project. If this is not the case, please contact the CWCB staff before <br />completing this application.) <br /> <br />1. Nameofapplicant Town of Frederick, r.nlnr,qnn <br /> <br />Charles Klarich, Town Administrator <br /> <br />Mailing Address <br /> <br />P.O. Box 435, 401 Locust Street <br /> <br />Frederick. CO 80530 <br />Business Phone Number ( 303) 833-2388 <br />Federal ill Number 84-6000668 <br /> <br />Fax Phone Number ( 303) 833-3817 <br /> <br />e-mail Addressfredtown@cmconline.com <br /> <br />2. Person to contact regarding this application, if different from above: <br />Name <br />Position/Title <br />Address <br />Business Phone Number ( <br />e-mail Address <br /> <br />) <br /> <br />Home Phone Number ( <br /> <br />) <br /> <br />3. Type of organization (Ditch Co., Irrigation District, Municipality, etc.):. Municipality <br />Ai.i~ee . <br />Date of lVleetmg 2nd & 4th Thursday of Month 7: 30 pm <br />Is the organization incorporated in the State of Colorado? YES ~ NO _ (If YES, please <br />include a copy of the articles of incorporation, and the bylaws with this application form.) <br /> <br />1 <br /> <br />CFIA602 <br />