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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 adclitional <br />sheets as nece.ssary to fully answe~' any question or to provide additional information that would be <br />helpful in the evaluation of tUis application. When finished, please return this application to: <br />THE COLORADO WATER CONSERVATION BOARD <br />Water Supply Pianning and Finance Sec~ion <br />1580 Logan S~, Suite 750 <br />Denver, CO 80203 <br />Atm: Kirk Russell, P.E. or Anna Mauss, P.E. <br />Phone (303) 866-3441- Fax (303) 8942578 <br />e-mail: ldrk.russell(a~state.co.us or annamaussCa~state co.us <br />Part A. - Description of f~e Applicant (Generally, the applicant is also the prospective owner and <br />sponsor of the pro~osed project. ff this is not the case, please contact the CWCB staff before <br />cpmpleting this applica~iion. ) <br />1. Name of applicant ~d2T~ S~F.~LIN ~ I,~~II~A- Ti~~l ~l 5 Ti2f G~ <br />Mailing Address ~ 1 Z A1. g~ l-~-JE - 1~. U~~Jox l0~ <br />~7~rz~i~v~ ~~ ~So `7 5 ~ <br />Business Phone (~~~ ) 52~-Zo2S Fax Phone ( 970) ~ZZ-?.~ZS <br />Federal ID Numbex 8~ Og !~O g 2 e-mail Address ~ i n1 ~ t~Dl~t~-~er ~i v~~ , o F'~ <br />2. Person to contact regardi.ng diis application: <br />Position/Titie N~~+n Gi ~ <br />Address ll2 l1~- ~~ f~'t/~ -~ 0, t3o~ /0~ 57~L/~/~ ~D S~37S / <br />Business Phone ( q~C~ 5 ZZ- 2~ ZS Home Phone (~7~) ~ ZZ.- (cs 9~8' <br />e-mail <br />~ J -~ <br />3. Type oforganization (Ditch Co., Irrigation District, MuttiaPality, etc-):~ octi ~ S-~-I'i c."~" <br />Date of Annual Meeting 3 i <br />Is the organizatian incorporated in. the State of Colorado? YES NO~ (ff YES, please <br />include a copy of the articles of ir~co~porateon, and the bylaws wi~. this application form.) <br />