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~~~ <br />~ <br />_~ I <br />5o tundgi-u, aoulevard • Po box 130 • Gypaum, co 8163J' <br />~ Te~eP{~one (97~) 524 7514 • T'awimile C9J0)524' 7~Z2 • www.towno~y(~eum.com <br />COLORADO WATER CONSERVATION BOAR.D <br />CONSTRUC~1'TON FUND LOAN APPLICATION ~ <br />Yn~tructions: This application sliouid be typed or pri.nted neatly with black ink. Attach additional <br />sheets as necessary to fu11y answer any questiom or to provide additional information that would be <br />helpful in the evaluation of this appIication. When finished, please return this application to: <br />THE COLORADO WATEIi CONSERVATIUN $OARD <br />Water Supply Planning and F'uiance Section <br />1580 Logan St, Suite 7S0 <br />Denver, CO 80203 ~ <br />Atm: Kirk Russell, P.E. or Anna Mauss, P.E. <br />Phone (303} 8b5-3441 - Fax (303) 894-2578 <br />e-mail: kirk.russellC~state.co.us or anna.maussC~state.co.us <br />part A. . Description of the Applicant (Generally, the applicant is also the prospecti.ve owner and <br />sponsor of the proposed project. If this is not the case, please contact the CWCB sta~r before <br />completing this application.} <br />1. Name of applicant Towii of Gwsum <br />Mailing Address PO Box130 <br />G sum CO 81637 <br />Business Phone (970) 524-7514 Fax Phone (970) 524-7522 <br />Federal ID Number 84-6012235 e-mai~ Address jeffshrollC townof¢vasum.com <br />2. Pezson to contact regarding this application: <br />Name Jeff Shroll <br />PositionPTitle Town Man er G suna <br />AC~~55 PO Box 130 Gvas - CO 81637 - <br />Business Phone ~970) 5247514 Home Phone (970) 524-7522 <br />ADMINISTRATIOBI-mail Address leffStlTOll@tOWIIOf~Vq5i11T1.COII1 - - <br />7own Manage~Type of organization (Ditch Co., Irrigation District, MunicSpality, etc.): Municipalitv <br />.1efFsf~roll' <br />Date of Annual Meeting n/a <br />Asst. Town Mana~er ~ <br />~ran~~a $a~la Ls the organization incorporated in the State of Colorado? YES NO ~ (If YES, please <br />Town Clerk include a copy o~ the articles of incorporation, and the bylaws wifili-this applieation form.) <br />DanetEe Sc~~egel <br />tice O{ficer <br />Sitverthorn <br />Sales Tax /+wditor <br />Janice Suckeanw <br />Code ~n~orcement <br />Anne ~abens}iade <br />