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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 retum 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~~~,state.co.us or anna.mauss~~r~siate.co.u~ <br />Part A. - Description of the Appticant (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 />l. Name of applicant Qe~ ( ar~r-~ sn ycl ~r ~•~A~ov~•~ei1 f" C~a,c~ y <br />MailingAddress P4 l40~1 g9 <br />f~'~ ~~O/'o 4 n ~ Cv g~ 70~ <br />Business Phone ( q~p 1 86 7- 2 8$ 3 Fax Phone ( 97v )$d 7~ Z$ S`~ <br />Federal ID Number $`/ - D7 ~`~6 9 3 e-mail Address <br />2. Person to contact regarding this application: <br />Name S~d f/ ~e.-~ be 1 <br />Position/Title P/~es~~eK-~ <br />Address ~7`t5O Bea~~l' C~~ck ~i`iv~ , ~US~i CQ $I~7Z.3 <br />~~ <br />Business Phone <br />Home Phone ( 97D~ $ y 2' 2!! 7 <br />e-mail ~-ddress ~e ke~bel ~ va~bo. cr~.~ <br />~ ~~~ <br />3. Type of organization (Ditch Co., Irrigation District, Municipality, etc.): i ~• <br />Date of Annual Meeting Z" Z$' d`j <br />Is the organization incorporated in the State of Colorado? YES ~ NO (jf YES, please <br />include a copy ofthe articles of incorporation, and the bylaws with this application form.) <br />