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<br />.. <br />. <br /> <br /># <br /> <br />CWCB Construction Fund Loan Application <br />Revised January 31, 1994 <br /> <br />2. Are any of the above liabilities now in default, or been in default at any time in the past? <br />YES NO --1L-. If "YES", please give detailed explanation: <br /> <br />3, Please provide a summary of all revenues received during the last two fiscal years by <br />category (such as service charges, tap fees, assessments, etc.): <br /> <br />~pp RttRrhen 1992 & 1991 audited financialstatements <br /> <br />4. Please provide a brief narrative description of potential sources of funding (in addition <br />to the CWCB) which have been explored or which will be explored for the proposed <br />project (Examples would be Banks, U.S. Farmer's Home Administration, Colorado <br />Water Resources and Power Development Authority, etc,) <br />OMID has received a $400,000 allocation from ASCS. We are contacting the <br /> <br />Division of Local Government about possible grants. <br /> <br />5. What collateral will you be offering for this loan?: <br /> <br />Tnrome from special or general assessments or levies <br /> <br />The above statements are true, to the best of my knowledge: <br /> <br />Signature of Applicant: <br />Title: <br />Date: <br /> <br />//):"~A7 (/ R ~ <br />{,-' n1/)j47~ <br />/;2-02r;-9~ <br /> <br />5 <br />