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Water Supply Reserve Account - Grant Application Form <br />Fonn Revised May 2007 <br />Additional Information - If you feel you would like to add anv_ additional pertinent information please feel <br />free to do so here. <br />The above statements are true to the best of my lcnoivledge: <br />Signature of Applicant: <br />Print Applicant's Name: William S. Burnidge <br />Project Title: Arickaree River Well Retirement Program <br />Date: Febnuarv 1, 2008 <br />Return this application to: <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 />To submit applications by Email, send to: r1ck.brov,-n'y,'state.co.us <br />To subunit applications by Fax, send to: (303) 894-2578 <br />For questions, call Telephone No.: (303) 866-3426 <br />Reference Information <br />The following information is available via the internet. The reference information provides additional detail <br />and background information regarding these criteria and guidelines and water policy issues affecting our state. <br />Sample Contract and Purchase Order - littp://cwcb.state.co.us/IWMD/tools.litm <br />Colorado Water Conservation Board Policies <br />Loan and Grant policies and information are available at -17ttp://cwcb.state.co.us/Finance/ <br />Water Supply Reserve Account Criteria and Guidelines - <br />littp://cwcb.state.co.us/IWMD/tools.litm#Water_Supply Reserve Account <br />23