Laserfiche WebLink
COLORADO WATER CONSERVATION BOARD <br />CONSTRUCTION FUND LOAN APPLICATION <br />Instructions: This application should be typed or printed neatly with black ink. Attach <br />additional sheets as necessary to fully answer any question or to provide additional <br />information that would be helpful in the evaluation of this application. When finished, please <br />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@state.co.us or anna.mauss(a~state.co.us <br />Part A. - Description of the Applicant (Generally, the applicant is also the prospective <br />owner and sponsor of the proposed project. If this is not the case, please contact the CWCB <br />staff before completing this application.) <br />1. Name of applicant Town of Dillon, Colorado <br />Mailing Address PO Box 8. Dillon CO 80435 <br />Business Phone ~970) 468-2403 Fax Phone ~970) 262-3410 <br />Federal ID Number 84-0526980 e-mail Address erich(~a,townofdillon.com <br />2. Person to contact regarding this application: <br />Name Eric Hol eg rson <br />Position/Title Public Works Director <br />Address same <br />Business Phone L970~ 262-3408 Home Phone 970 418-2543 <br />e-mail Address erich(a~townofdillon.com <br />3. Type of organization (Ditch Co., Irrigation District, Municipality, etc.): municipalitv <br />Date of Annual Meeting N/A <br />Is the organization incorporated in the State of Colorado? YES X NO_ (If YES, please <br />include a copy of the articles of incorporation, and the bylaws with this application form.) <br />-1- <br />