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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 WATR 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.us or anna.mauss(c~r~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 Park Center Wa er District <br />Mailing Address P.O. Box 1406 Canon City, CO 81215 <br />Business Phone (7191275-2055 Fax Phone j7192275-0268 <br />Federal ID Number 84-1021070 a-mail Address deb~azkcenter(a~msn.com, <br />2. Person to contact regazding this application: <br />Name Debbie Marsicano <br />Position/Title District Manager <br />Address P.O. Box 1406 Canon City, CO 81215 <br />Business Phone (719) 275-2055 Home Phone (719 275-0838 <br />e-mail Address deb~azkcenter(a,msn.com <br />3. Type of organization (Ditch Co., Irrigation District, Municipality, etc.): Domestic Water <br />Provider, Special District of the State of Colorado <br />Date of Annual Meeting N/A <br />Is the organization incorporated in the State of Colorado YES NO X (If YES)please <br />Include a copy of the articles of incorporation, and the bylaws with this application form.) <br />