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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(a�state.co.us or anna.maussna,state.co.us <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 Riverside Ditch & Allen Extension Companv <br />Mailing Address P O Box 892 Buena Vista. Colorado 81211 <br />Business Phone (719) 395-5738 Fax Phone (719) 395-2061 <br />Federal ID Number 84-1210299 e-mail Address jimberchert(a��yahoo.com <br />2. Person to contact regarding this application: <br />Name Laura Berchert <br />Position/Title Board President <br />Address 31715 U.S. Highwav 24 North, Buena Vista Colorado 81211 <br />Business Phone (719�395-5738 Home Phone (719) 395-5738 <br />e-mail Address jimberchert(a�vahoo.com <br />3. Type of organization (Ditch Co., Irrigation District, Municipality, etc.): mutual ditch company <br />Date of Annual Meeting: 1 st week of March. Most recentiv March 7, 2009 <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 />