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COLORADO WATER CONSERVATION BQARD <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 applica.tion. 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• kirl�.r�zssellCc��t�t�.cc�.us or ���nY�a.��nzuzs�(€�stt <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 � �-��- �_, , : <br />� a . <br />Mailing Address / �`� i � �v, -'` �'��' <br />�� <br />r � �, 1 ! :''}" (`'� '? r.�- � <br />Business Phone f) f �� � � � �- �' - ..�, , . ,. � ��, -��- ;�. ; <br />� `� Fax Phone 7�) � � �f <br />Federal ID Number `�` �-- /�� � ;'.� � e-mail Address �°;r�i�'� l�� r � � <br />_, <br />Z. Person to contact regarding th�s application: <br />Name �-� � � r �t ��'� , � ; , <br />� ` <br />Position/Title �'.'.D t`3�e�r)e r� — � �� �� , <br />Address � l ' < ,� � r �`�� ,� � , �°* �. -:� <br />Business Phone ( `� � �) � ; ;� - ��; � � �� �E � Home Phone ( �� ' � .�" ' <br />e-mail Address �`- � �� � x ? � � <br />3. Type of organization (Ditch Co., Irrigation District, Municipality, etc ��- `���`��� °'�=s'� ��� ��b �_° �>�.4� <br />���„. <br />Date of Annual Meeting � � ��: � <<�.� `�� <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 />