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Water Supply Reserve Account - Grant Application Form <br />Fonn Revised May 2007 <br />8. 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 lmoivledge: <br />Signature of Applicant: <br />Print Applicant's Name: Bruce Pitts, Mayor <br />Project Title: Town of Yampa Water Facilities Plan and Storage Tank <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 subinit applications by Email, send to: rick.broivwd)state.co.us <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 - http://cwcb.state.co.us/IWNM/tools.litm <br />Colorado Water Conservation Board Policies <br />Loan and Grant policies and information are available at - littp://cwcb.state.co.us/Finance/ <br />Water Supply Reserve Account Criteria and Guidelines - <br />littp://cwcb.state.co.us/IWNID/tools.litm#Water-Supply Reserve Account <br />11