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COLORADO WATER CONSERVATION BOARD <br />CONSTRUCTION FUND LOAN APPLICATION <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 />THE COLORADO 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 Anna Mauss, P.E. <br />Phone (303) 866-3441 -Fax (303) 894-2578 <br />e-mail: kirk.russell~a!state.co.u~ or anna.mauss~c%state.co.us <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 1,~/ •r/c~~~i~~ ~~a ~f~~ ~~~/~~r t ~~-~~~~, <br />9 / <br />Mailing Address f~~G ~ /~i~X ~~~. li~~ /d~lfa~ ~~. ~1~~~3 <br />Business Phone ( ) Fax Phone ( ) <br />Federal ID Number ~. ~ e-mail Address C. ~), Cry c E' ~+. ,~~~~/ <br />2. Person to contact regarding this application: <br />_~ y-- <br />Name ~~c~y J. ~c.•c~s~2,<r~ <br />Position/Title ti ~-s,1~~~ <br />Address /r~~.?.'2.? ~~~~ ?', G~'~ ~,;ctc~, C ~c~rs 3 <br />Business Phone (~% 7C' 1 7G~ ~"- /C' 3 3 Home Phone (% ~ ; ~,'7!S -- ~y~~~ <br />e-mail Address ~ ~h, .~`,'.•' ~- f~~l~;,~'/r~r. ~r`i~~ <br />3. Type of organization (Ditch Co., Irrigation District, Municipality, etc.): /JE r~6,t 4~:'~~+ <br />~- <br />Date of Annual Meeting ~ ~~r ~,, ~~. ~~` •x`~ '~ l <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 />