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<br />Water Supply Reserve Account - Grant Application Form <br />Form Revised May 2007 <br /> <br />8. Additional Information - If you feel you would like to add any additional pertinent information please feel <br />free to do so here. <br /> <br />Please see the Project Overview, the La Plata West Water Authority summary, Summary <br />letter of design-build proposals, which are attached as Appendices B, C and D. <br /> <br />The above statements are true to the best of my knowledge: <br /> <br />Signature of Applicant: Mark La n 9 fo rd <br /> <br />Digitally signed by Mark Langford <br />DN: cn=Mark Langford, o=La Plata West Water Authority, ou, <br />email=marklangford@ttii.com. c=US <br />Date: 2008.03.03 17:35:26 -OTOO' <br /> <br />Print Applicant's Name: Mark Langford, President, La Plata West Water Authority <br /> <br />Project Title: La Plata West Rural Domestic Water Supply System <br /> <br />Return this application to: <br /> <br />Mr. Rick Brown <br />Intrastate Water Management and Development Section <br />COLORADO WATER CONSERVATION BOARD <br />1580 Logan Street, Suite 600 <br />Denver, CO 80203 <br /> <br />To sublnit applications by Email.sendto:rick.brown((Ustate.co.us <br /> <br />Reference Information <br /> <br />The following information is available via the internet. The reference information provides additional detail <br />and bacl(ground information regarding these criteria and guidelines and water policy issues affecting our <br />state. <br /> <br />Sample Contract and Purchase Order -(Create Link:) <br /> <br />Colorado Water Conservation Board Policies <br /> <br />Loan and Grant policies and information are available at - http://cwcb.state.co.us/Finance/ <br />Water Supply Reserve Account Criteria and Guidelines- <br />http://cwcb.state.co.us/IWMD/tools.htm#W ater Supply Reserve Account <br /> <br />11 <br />