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<br />COLORADO WATER CONSERVATION BOARD <br />CONSTRUCTION FUND LOAN APPLICATION <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 COWRADO WATER CONSERVATION BOARD <br />Water Supply Planning and Finance Section <br />1580 Logan St., Suite 750 <br />Denver, CO 80203 <br />Attn: Kirk Russell, P.E. or Bruce Johnson, P.E. <br />Phone Number 303/866-3449 - Fax Number 303/894-2578 <br />e-mail: kirk.russell(Q)state.co.usorbruceJohnson(Q)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 />1. Name of applicant Bij ou Irrigation Company <br /> <br />Mailing Address <br /> <br />P. O. Box 972 <br /> <br />Fort Morgan, Colorado 80701 <br /> <br />Business Phone Number (970 )867 - 2222 <br />Federal ID Number 84-0149200 <br /> <br />Fax Phone Number (970) 867 - 2294 <br />e-mail Addressoffice@bijouirrig-ation.com <br /> <br />2. Person to contact regarding this application: <br />Name Denice M. Wagner <br /> <br />Positionffitle Secretary/Off ice Manager <br /> <br />Address <br /> <br />P. O. Box 972 Fort Morgan, Colorado 80701 <br /> <br />Business Phone Number (9 7 0 )86 7 - 2 2 22 Home Phone Number ( 9 7 0 ) 6 4 5 - 2 54 0 <br />e-mail Addressoffice@bijouirrigation.com <br /> <br />3. Type of organization (Ditch Co., Irrigation District, Municipality, etc.): Non Prof i t Mutual Di tch <br />Company <br />Date of Annual Meeting January 25,2008 <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 />