C150203 contract docs

• Contract/PO #: C150203
• Contractor Name: Florence, City of
• Contract Type: Grant
• Loan Projects - Doc Type: Contract Documents

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additional sheets as necessary to fully answer any question, or to provide additional informa�ion that
you feel would be helpful in evalua.ting this application. Include with your application a cover letter
sununarizing your request for a non-reimbursable inveshnent. If you have difficulty with any part of
the application, contact Mike Serlet of the .Water Supply Planning and Finance Section (Colorado
(Project Name)
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Tnctructinnc This application form should be emailed, typed, or printed neatly. You may attach
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Water Conservation Boazd) for assistance, at [phone] or ema.il Mike at mike_Gerletnu�state_cn_uc.
Generally, the applicant is also the prospective owner and sponsor of the proposed project. If this is not
the case, contact the Mike Serlet before completing this application at [phone].
Part A. - Description of the Applicant (Project Sponsor or Owner);
1. ApplicantName(s) : CITY OF FLORENCE
COLORADO WATER CONSERVATION BOARD
CONSTRUCTION FUND
2005-2006 NON-REIlVIBURSABLE PROJECT APPLICATION
OAK CREEK RESERVOIR FEASIBI S TUDY
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Taxnavet ID# 84-6014553 : F.mail a��rP�� �wi 11 i@f 1 orencecol orado . org :
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Phone Numbers: Business: s...7...1.9.-.7..$.4..-...4.$48.....e�t...;224
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Home:
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Fax:
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Mailing address: : 300 WEST MAIN STREET
` FLORENCE, CO 81226
2.
Person to contact regazding this application if different from above:
Tom Piltingsrud
C.i.ty....Mana,g �e.r ...................a�.r...................................
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Dori Williams